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KMID : 0896720030070020174
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 2 p.174 ~ p.178
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Proximal Dome Osteotomy for Hallux Valgus
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Park Yong-Wook
Noh Kyu-Cheol
Kim Do-Young
Lee Sang-Soo
Yun TK
Son Hyun-Il
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Abstract
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Purpose:The purpose of this study was to evaluate the radiographic results and complications after the proximal dome osteotomy for hallux valgus.
Material and Methods : 127 cases of clinically moderate to severe hallux valgus from October 194 to September 1997 were included in this study. All had been surgically corrected with proximal dome osteotomy, bunionectomy, and distal soft tissue release. We compared the hallux valgus angle(HVA) and intermetatarsal angle(IMA) at preoperative, postoperative 3 weeks, postoperative 6 weeks, and postoperative 3 months. Also we reviewed the postoperative complications.
Results:The HVA averaged 34.1° at preoperative, 4.3° at 3 weeks after operation, 8.1°, at 6 weeks after operation, and 10.2° at 3 months after operation. The IMA averaged 14.6° at preoperative, 5.1° at 3 weeks after operation, 5.6° at 6 weeks after operation, and 7.3° at 3 months after operation. We experienced 7 cases of malunion, 5 cases of limitation of motin at the first metatarso-phalangeal joint, 3 cases of hallux varus deformity, 2 cases of delayed union.
Conclusions:Proximal dome osteotomy for moderatie to severe hallux valgus deformity was considered as one of the effective treatment methods. And we try to avoid limitation of motion at the first metatarso-phalangeal joint after operation.
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KEYWORD
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Great toe, Hallux valgus, Proximal crescentic osteotomy
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