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Treatment of Bunionette Deformity with Diaphyseal Oblique Osteotomy / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society ; : 31-35, 2008.
Article in Korean | WPRIM | ID: wpr-105909
ABSTRACT

PURPOSE:

The authors intended to evaluate the results of symptomatic bunionette treated with a diaphyseal oblique osteotomy. MATERIALS AND

METHODS:

Nine patients were followed for more than 1 year after diaphyseal oblique osteotomy for a bunionette deformity with plantar callosity. The mean age was 43 years (23-69 years), and the mean follow-up period was 27 months (12-70 months). As a combined disorder, 7 patients had hallux valgus, for which 3 distal metatarsal oteotomies, 3 proximal osteotomies, and 1 double osteotomy were performed. Clinically, preoperative and postoperative AOFAS MP-IP scale, patient's satisfaction, postoperative complications were analyzed. Radiologically, the 4th intermetatarsal angle and the 5th metatarso-phalangeal angle were analyzed.

RESULTS:

Clinically, AOFAS MP-IP scale was increased from 59 points preoperatively to 93 points postoperatively, and all patients were satisfied with the results. The plantar callosity had all disappeared at the final follow up. The 4th intermetatarsal angle was decreased from 12.6degrees preoperatively to 4.3degrees postoperatively, and the 5th metatarso- phalangeal angle was decreased from 21.9degrees preoperatively to 2.4degrees postoperatively. There were no significant postoperative complications.

CONCLUSION:

Diaphyseal oblique osteotomy of the 5th metatarsal appears to be safe and satisfactory procedure for the treatment of a symptomatic bunionette with plantar callosity.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteotomy / Postoperative Complications / Congenital Abnormalities / Callosities / Metatarsal Bones / Hallux Valgus / Follow-Up Studies / Bunion, Tailor's Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of Korean Foot and Ankle Society Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Osteotomy / Postoperative Complications / Congenital Abnormalities / Callosities / Metatarsal Bones / Hallux Valgus / Follow-Up Studies / Bunion, Tailor's Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of Korean Foot and Ankle Society Year: 2008 Type: Article