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KMID : 1130920100140010031
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Journal of Korean Foot and Ankle Society
2010 Volume.14 No. 1 p.31 ~ p.35
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Surgical Treatment for Plantar Keratosis Using Vertical Chevron Osteotomy
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유성호:Yoo Seong-Ho
김부환:Kim Bu-Hwan/송무호:Song Moo-Ho/안성준:Ahn Seong-Jun/이민수:Lee Min-Soo/강석웅:Kang Suk-Woong
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Abstract
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Purpose: Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically.
Materials and Methods: Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients’ satisfaction and disappearance of plantar lesion.
Results: The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared.
Conclusion: We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.
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KEYWORD
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Metatarsal head, Plantar keratosis, Metatarsal osteotomy
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