https://scholars.lib.ntu.edu.tw/handle/123456789/507481
標題: | Management of Juvenile Hallux Valgus Deformity: The role of combined Hemiepiphysiodesis | 作者: | Chiang, Ming-Hung TING-MING WANG Kuo, Ken N. Huang, Shier-Chieg KUAN-WEN WU |
關鍵字: | Hallux valgus angle;Hemiepiphysiodesis;Intermetatarsal angle;Juvenile hallux valgus | 公開日期: | 25-十月-2019 | 出版社: | BioMed Central Ltd. | 卷: | 20 | 期: | 1 | 起(迄)頁: | 472 | 來源出版物: | BMC Musculoskeletal Disorders | 摘要: | Background: This study aimed to investigate the efficacy of percutaneous hemiepiphysiodesis for gradual correction of symptomatic juvenile hallux valgus (HV) deformity. Methods: Between 2012 to 2014, 24 patients with symptomatic juvenile HV were treated by combined percutaneous medial drilling hemiepiphysiodesis of the first proximal phalanx and lateral transphyseal screw hemiepiphysiodesis of the first metatarsal at our institution. Twenty-one of 24 patients fulfilled inclusion criteria had a complete radiological and clinical follow-up of at least 2 years. Preoperative and postoperative radiographs of the feet were reviewed for measurements of hallux valgus angle (HVA), intermetatarsal angle (IMA), proximal metatarsal articular angle (PMAA), proximal phalangeal articular angle (PPAA), and metatarsal length ratio (MTLR). Clinical outcomes were assessed using the AOFAS hallux metatarsophalangeal-interphalangeal score. Results: The study included 21 consecutive patients (37 ft) for analysis. The mean age at surgery was 12.0 years (SD = 1.3) and mean follow-up after surgery was 35.1 months (SD = 6.0). With the data available, the HV deformity improved in terms of the reduction of HVA by a mean of 4.7 degrees (P <.001) and the reduction of IMA by 2.2 degrees (P <.001). The PMAA and PPAA also improved significantly in the anteroposterior plane; however, the PMAA difference was insignificant in lateral plane as expected. The mean difference in the MTLR was 0.00 (P =.216) which was indicative of no length discrepancy between first and second metatarsals. The AOFAS score increased from 68.7 to 85.2 (P [removed] |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074073603&doi=10.1186%2fs12891-019-2867-7&partnerID=40&md5=ce2442794582a189f13dd39a83dbea59 https://scholars.lib.ntu.edu.tw/handle/123456789/507481 |
ISSN: | 1471-2474 | DOI: | 10.1186/s12891-019-2867-7 |
顯示於: | 醫學系 |
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