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KMID : 0896720030070020179
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 2 p.179 ~ p.186
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Modified Lapidus procedure for the Treatment of Hallux Valgus
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Lee Kyung-Tai
Kim Jae-Young
Young Ki-Won
Lee Se-Young
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Abstract
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Purpose:The purpose of this study was to evaluate the result of modified Lapidusprocedure for Hallux valgus associated with first ray hypermobility
Material and Methods : A retrospective study was conducted between Aug. 1999 and Oct. 2003. We evaluated 20 cases (12 patients) of hallux valgus that performed modified Lapidus procedure. We asked to patient about postoperative satisfaction in terms of overall, pain, and appearance. Preoperative and postoperative AOFAS score for the forefoot was calculated, also preoperative and postoperative radiologic evaluation was done.
Results:In terms of satisfaction, overall rate was 70%, pain relief and appearance were 70% and 70%. Preoperative mean Hallux valgus angle and mean intermetatarsal angle were 42.6 degree and 19.4 degree. After procedure, at last follow up, mean hallux valgus angle and mean intermetatarsal angle were 16 degree and 8.7 degree. In terms of complication, nonunion was seen in 3 cases and recurrence of hallux valgus deformity was 2 cases.
Conclusions:In consideration of high complication rate, modified Lapidus prociduremust be improved in terms of more rigid fixation technique, etc.
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KEYWORD
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Hallux valgus, First ray hypermobility, modified Lapidus procedure
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