First Metatarsal Dorsal Close Wedge Osteotomy Combined with Medial Cuneiform Plantar Open Wedge Osteotomy for the Treatment of a Cavus Foot / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 24-30, 2010.
Article
in Korean
| WPRIM
| ID: wpr-651755
ABSTRACT
PURPOSE:
We wanted to analyze the results of the 1st metatarsal dorsal close wedge osteotomy (MTDW) combined with medical cuneiform plantar open wedge (MCPOW) for treating forefoot deformity of a cavus foot. MATERIALS ANDMETHODS:
We retrospectively analyzed 30 patients. Their mean age was 21.5 years (SD 10.6 years) and the average follow-up period was 2.3 years. Thirty-four cases of thirty patients were classified as group A, as classified by the 1st MTDW combined with the MCPOW, 16 feet (14 patients) were group B by the 1st MTDW or MCPOW, 12 feet (10 patients), and group C by triple arthrodesis, 6 feet (6 patients). We evaluated the ankle dorsiflexion, plantarflexion, heel alignment, and the Maryland foot score (MFS) preoperatively and the last follow-up, and we analyzed the radiologic Hibb, Meary, calcaneal pitch and tibiotalar angles.RESULTS:
The ankle dorsiflexion (p=0.01), plantar flexion (p=0.03) and heel alignment (p=0.02) of group A were significantly improved more than that of groups B and C. The MFS of group A revealed better than group B and C (p=0.01). The Meary (p=0.01), Hibb (p=0.02) and calcaneal pitch angle (p=0.02) of group A were significantly improved more than that of groups B and C.CONCLUSION:
1st MTDW combined with MCPOW osteotomy that focuses at the apex of the deformity for correction of a cavus foot can obtain better clinical and radiological results than other surgical procedures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Arthrodesis
/
Congenital Abnormalities
/
Metatarsal Bones
/
Heel
/
Maryland
/
Retrospective Studies
/
Follow-Up Studies
/
Foot
/
Ankle
Type of study:
Observational study
/
Prognostic study
Limits:
Animals
/
Humans
Country/Region as subject:
North America
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2010
Type:
Article
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