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KMID : 0896719970010010001
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Journal of the Korean Society of Foot Surgery
1997 Volume.1 No. 1 p.1 ~ p.5
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Distal Soft-Tissue Procedure with or without Proximal Metatarsal Osteotomy for Mild to Moderate Hallux Valgus
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Cho Duck-Yun
Kim Hee-Chun
Seon Chang-Wan
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Abstract
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Multiple surgical procedures for the correction of hallux valgus have been described. The surgical algorithm is based on the degree of deformity, patients age, and the presence or absence of arthritis. It is known that the rale of an isolat.ed distal soft-tissue procedure is limited and the procedure must be used in conjunction with the proximal metatarsal osteotomy to correct most hallux valgus. We reviewed retrospectively the clinical & radiological results of distal soft-tissue procedure with or without proximal metatarsal osteotomy, performed in 18 patients (29 cases ) who had mild to moderate degrees af hallux valgus deformity. The results were as follows 1. In 20 cases wit.h isolated soft-tissue procedures, the preoperative hallux valgus angle (HV) averaged 30.6 degrees and the postoperative HV averaged 7.3 degrees. The preoperative intermetatarsal angle (IM) averaged 12.5 degrees and postoperative IM averaged 10.4 degrees. 2. In 9 cases with the proximal metatarsal osteotomy added, the preoperative HV averaged 32.5 degrees, and the postoperative HV averaged 8.0 degrees. The preoperative IM averaged 12.5 degrees, and postoperative IM averaged 10.1 degrees. 3. There was no significant difference of loss of correction, presence of complication, patients own satisfaction, between two groups. In conclusion, as for the patients with mild to moderate degrees of hallux valgus deformities, the clinical and radiological results following distal soft tissue procedure and proximal metatarsal osteotamy are not proved to be superior to thase following isolated soft-tissue procedures.
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KEYWORD
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Hallux valgus, Distal soft tissue procedure, Proximal metatarsal osteotomy
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