Treatment of Iatrogenic First Metatarsal Dorsiflexion Deformity After Hallux Valgus Surgery: A Case Report.
- Author:
Kyung Tae LEE
1
;
Ki Won YOUNG
;
J Young KIM
;
Eung Soo KIM
;
Seung Do CHA
;
Sang Woo SON
Author Information
1. Department of Orthopedic Surgery, Eulji University College of medicine, Seoul, Korea. salvagefoot@yahoo.com
- Publication Type:Original Article
- Keywords:
Dorsiflexion deformity;
Iatrogenic;
Crescenteric osteotomy;
Hallux valgus
- MeSH:
Adult;
Bony Callus;
Congenital Abnormalities*;
Female;
Foot;
Hallux Valgus*;
Hallux*;
Head;
Humans;
Metatarsal Bones*;
Osteotomy;
Shoes
- From:Journal of Korean Foot and Ankle Society
2004;8(2):199-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case that iatrogenic dorsiflexion deformity after hallux valgus surgery treated successfully with crescenteric plantar flexion metatarsal osteotomy. MATERIALS AND METHODS: 43 years old female who suffered from left fore foot pain and deformity after hallux valgus surgery was evaluated. RESULTS: Preoperatively she did not put on ordinary shoes and had had persistent pain and discomfort on 1st metatarsal area. She also had a callus on plantar surface of 2nd metatarsal head. Simple AP and Lateral x-ray identified that 1st metatarsal bone had a 23 degree dorsiflexion deformity. For correction of deformity, plantarflexion crescenteric osteotomy was performed on proximal 1st metatarsal area. After operation, All of symptom eliciting patient was gone and 43 points of AOFAS scale preoperatively improve 100 points and the patient very satisfied. Post operative x-ray was showing complete correction of deformity. CONCLUSION: As a treatment of iatrogenic dorsiflexion deformity after hallux valgus surgery, the crescenteric plantar flexion osteotomy can be good and safe modality for correction.
