나사못을 이용한 제 1 중족 족지 관절 유합술 (The First Metatarsophalangeal Arthrodesis with Screws Fixation)

서지정보

· 발행기관 : 대한족부족관절학회
· 수록지 정보 : 대한족부족관절학회지 / 13권 / 2호 / 142 ~ 145페이지
· 저자명 : 서우영, 성일훈, 조현중

초록

Purpose: The aim of this study was to retrospectively evaluate the clinical and radiological results of the first metatarsophalangeal
joint arthrodesis with two crossed screws fixation.
Materials and Methods: We treated 23 patients (24 cases) with arthrodesis of the first metatarsophalangeal joint using two crossed
screws fixation between December 2000 and May 2005. There were 3 male patients and 20 female patients. Ages ranged from 28
to 74 years (mean, 50 years). Follow-up ranged from 4.1 to 8.2 years (mean, 6.5 years). The American Orthopaedic Foot and
Ankle Society (AOFAS) score and their satisfaction was evaluated clinically, foot anteroposterior and lateral radiograph,
radiologically.
Results: Of the 24 cases, 6 had surgery for dorsal plate and screws fixation because of failure to acquire firm fixation with two
crossed screws fixation. All 6 cases acquired bony union. Fusion of the hallux first metatarsophalangeal joint occurred in 16/18
cases (89%). Nonunion occurred in 2 cases (11%) and was asymptomatic. At last follow-up, hallux valgus angle ranged from 11
to 25 degrees(mean, 17.7 degrees), dorsiflexion ranged from 15 to 25 degrees (mean, 22 degrees).The mean preoperative AOFAS
score of 37 points(range, 28 to 45 points) improved to a mean of 77 points (range, 65~90 points) postoperatively. The result of the
procedure as rated subjectively by the patient was excellent for 5 cases, good for 11 cases and fair for 2.
Conclusion: Comparatively, the arthrodesis of the first metatarsophalangeal joint with crossed screws fixation showed a satisfactory
clinical results, we thought that require technical attention for firm fixation in operation.

영어초록

Purpose: The aim of this study was to retrospectively evaluate the clinical and radiological results of the first metatarsophalangeal
joint arthrodesis with two crossed screws fixation.
Materials and Methods: We treated 23 patients (24 cases) with arthrodesis of the first metatarsophalangeal joint using two crossed
screws fixation between December 2000 and May 2005. There were 3 male patients and 20 female patients. Ages ranged from 28
to 74 years (mean, 50 years). Follow-up ranged from 4.1 to 8.2 years (mean, 6.5 years). The American Orthopaedic Foot and
Ankle Society (AOFAS) score and their satisfaction was evaluated clinically, foot anteroposterior and lateral radiograph,
radiologically.
Results: Of the 24 cases, 6 had surgery for dorsal plate and screws fixation because of failure to acquire firm fixation with two
crossed screws fixation. All 6 cases acquired bony union. Fusion of the hallux first metatarsophalangeal joint occurred in 16/18
cases (89%). Nonunion occurred in 2 cases (11%) and was asymptomatic. At last follow-up, hallux valgus angle ranged from 11
to 25 degrees(mean, 17.7 degrees), dorsiflexion ranged from 15 to 25 degrees (mean, 22 degrees).The mean preoperative AOFAS
score of 37 points(range, 28 to 45 points) improved to a mean of 77 points (range, 65~90 points) postoperatively. The result of the
procedure as rated subjectively by the patient was excellent for 5 cases, good for 11 cases and fair for 2.
Conclusion: Comparatively, the arthrodesis of the first metatarsophalangeal joint with crossed screws fixation showed a satisfactory
clinical results, we thought that require technical attention for firm fixation in operation.

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