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KMID : 0896720000040020072
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Journal of the Korean Society of Foot Surgery
2000 Volume.4 No. 2 p.72 ~ p.78
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Treatments for the Plantar Pain of the First Metatarsal Head
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Park Yong-Wook
Yoon Jung-Han
Chung Yung-Khee
Park Hong-Jun
Yu Sun-O
Kim Wan-Hong
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Abstract
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Purpose: To validate the major bony causes and postoperative results of the first metatarsal head plantar pain.
Materials and Methods: We experienced one case of the fracture and non-union of the medial sesamoid treated by autogenous calcaneal bone graft, one case of the fracture and non-union and two cases of the hypoplasia of the medial sesamoid treated by excision of medial sesamiod, one case of the arthrosis between the first metatarsal head and the medial sesamoid treated by plantar 1/2 partial excision of the medial sesamoid, and two cases of the metatarsus primus flexus treated by basal metatarsal closing wedge osteotomy between October 1995 and September 1999. The mean follow-up period was 28 months. We evaluated the results by using of the clinical rating systems for the hallux and the radiographic findings.
Results:An excellent results were achieved in all cases except one which was preoperatively diagnosed as metatarsus primus flexus. But, clinically this one case also satisfied with the postoperative result. Radiologically, We did not find the malunion or nonunion of the medial sesamoid treated by bone graft and of the metatarsus primus flexus treated by basal metatarsal closing wedge osteotomy. And also we did not find the postoperative fracture of the medial sesamoid treated by platar 1/2 partial excision. There were no postoperative complications in all cases.
Conclusion: We think that the good results may be achieved from the patients with the plantar pain of the first metatarsal head by the exact diagnosis and aggressive treatments.
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KEYWORD
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First metatarsal head, Plantar pain, Surgical treatments
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