Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Results of Distal Chevron Osteotomy with Lateral Soft Tissue Release for Hallux Valgus Deformity

무지 외반증에서 외측 연부 조직 유리술을 함께 시행한 원위 갈매기형 절골술의 치료 결과

  • Lee, Ho-Seong (Department of Orthopedic Surgery, University of Ulsan College of Medicine) ;
  • Ji, Hyung-Chul (Department of Orthopedic Surgery, University of Ulsan College of Medicine) ;
  • Lee, Sung-Woo (Department of Orthopedic Surgery, University of Ulsan College of Medicine) ;
  • Kim, Jong-Min (Department of Orthopedic Surgery, Hanil General Hospital)
  • 이호승 (울산대학교 의과대학 정형외과학교실) ;
  • 지형철 (울산대학교 의과대학 정형외과학교실) ;
  • 이성우 (울산대학교 의과대학 정형외과학교실) ;
  • 김종민 (한일병원 정형외과)
  • Published : 2006.12.01
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Abstract

Purpose: To evaluate the results and effectiveness of distal chevron osteotomy combined with lateral soft tissue release for the correction of hallux valgus deformity. Materials and Methods: 31 patients who underwent distal chevron osteotomy with lateral soft tissue release between July 2002 and June 2003, were analyzed in terms of hallux valgus angle, intermetatarsal angle, subluxation of sesamoid, AOFAS score and the occurrence of avascular necrosis of the first metatarsal head. Results: The mean amount of the correction of hallux valgus angle was $26.3^{\circ}$. The mean amount of the correction of intermetatarsal angle was $6.6^{\circ}$. The mean amount of the correction of sesamoid subluxation was 1.2 points. The mean improvement of AOFAS score was 25.8 points. Avascular necrosis of the first metatarsal head was not found in any cases. Conclusion: For correction of hallux valgus deformity, distal chevron osteotomy with lateral soft tissue release showed improvement of hallux valgus angle, sesamoid subluxation and AOFAS score with no evidence of avascular necrosis of the first metatarsal head.

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