Lesser-Metatarsal Medial Displacement Osteotomy for the Treatment of Digital Transverse Plane Deformities
| Autor: | Douglas K. McDonald, Tommy G Roe, Richard D. Odom, Troy D. Overbeek, W Preston Goforth |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Foot Deformities
Male medicine.medical_specialty Radiography medicine.medical_treatment Physical examination Osteotomy Cohort Studies Deformity medicine Humans Metatarsal Bones Pain Measurement medicine.diagnostic_test business.industry General Medicine Middle Aged Medial displacement Numerical digit Surgery Transverse plane Patient Satisfaction Female medicine.symptom Metatarsal bones business Follow-Up Studies |
| Zdroj: | Journal of the American Podiatric Medical Association. 95:550-555 |
| ISSN: | 1930-8264 8750-7315 |
| DOI: | 10.7547/0950550 |
| Popis: | We sought to evaluate the clinical and radiographic outcomes in patients treated with a medial displacement transverse osteotomy of the second metatarsal to correct transverse hammer toe deformities. Eighteen patients underwent 20 procedures in 3 years. Each patient had a transverse plane deformity of the second metatarsophalangeal joint. Evaluation consisted of clinical examination, radiographic examination, and self-reported pain and function parameters. Mean ± SD follow-up was 2.5 ± 1.0 years. Radiographic joint congruence improved from 20% before surgery to 95% after surgery. Clinical examination revealed a rectus digit in 85% of cases, a transverse plane deviation in 10%, and a residual hammer toe deformity in 5%. At follow-up, the mean ± SD visual analog scale score for pain with activity was 2.2 ± 2.8 and for pain at rest was 0.6 ± 1.4. Ninety-five percent of the patients said that they would undergo the procedure again. Medial displacement osteotomy for transverse plane deformity of the second metatarsophalangeal joint is a reliable procedure, with substantial improvement in joint congruence and self-reported pain. (J Am Podiatr Med Assoc 95(6): 550–555, 2005) |
| Databáze: | OpenAIRE |
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