Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Treatment of Iatrogenic First Metatarsal Dorsiflexion Deformity After Hallux Valgus Surgery -A Case Report-

무지 외반증 환자의 근위부 절골술 후 발생한 의인성 제 1 중족골의 족배 굴곡증의 치료 -1예 보고-

  • Lee, Kyung-Tae (Department of Orthopedic Surgery, Eulji University College of medicine) ;
  • Young, Ki-Won (Department of Orthopedic Surgery, Eulji University College of medicine) ;
  • Kim, J-Young (Department of Orthopedic Surgery, Eulji University College of medicine) ;
  • Kim, Eung-Soo (Department of Orthopedic Surgery, Eulji University College of medicine) ;
  • Cha, Seung-Do (Department of Orthopedic Surgery, Eulji University College of medicine) ;
  • Son, Sang-Woo (Department of Orthopedic Surgery, Eulji University College of medicine)
  • 이경태 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 양기원 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 김재영 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 차승도 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 김응수 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 손상우 (을지대학교 의과대학 노원을지병원 정형외과학교실)
  • Published : 2004.12.01
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Abstract

Purpose: We report a case that iatrogenic dorsiflexion deformity after hallux valgus surgery treated successfully with crescenteric plantar flexion metatarsal osteotomy. Materials and Methods: 43 years old female who suffered from left fore foot pain and deformity after hallux valgus surgery was evaluated. Results: Preoperatively she did not put on ordinary shoes and had had persistent pain and discomfort on 1st metatarsal area. She also had a callus on plantar surface of 2nd metatarsal head. Simple AP and Lateral x-ray identified that 1st metatarsal bone had a 23 degree dorsiflexion deformity. For correction of deformity, plantarflexion crescenteric osteotomy was performed on proximal 1st metatarsal area. After operation, All of symptom eliciting patient was gone and 43 points of AOFAS scale preoperatively improve 100 points and the patient very satisfied. Post operative x-ray was showing complete correction of deformity. Conclusion: As a treatment of iatrogenic dorsiflexion deformity after hallux valgus surgery, the crescenteric plantar flexion osteotomy can be good and safe modality for correction.

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