CAJ | 학술논문

背景：外翻是最常见的前足畸形，越来越受到矫形外科医生的重视，其治疗方式多种多样，如何选择适合的手术方式是治疗成功的关键。 　　目的：探讨Scarf截骨术治疗外翻的疗效。 　　方法：2010年7月至2012年6月，我院采用Scarf截骨术治疗中重度外翻患者47例（61足），男5例（7足），女42例（54足）；年龄20~78岁，平均52.2岁。比较手术前后外翻角及第1、2跖骨间角纠正程度。采用AOFAS评分评估患者临床症状改善情况。 　　结果：所有患者均获得随访，随访时间4~8个月，平均6个月。外翻角由术前42.6°减小至12.9°，平均减小29.7°。第1、2跖骨间角由术前18.4°减小至8.9°，平均减小9.5°。AOFAS评分由术前49.9分增加至术后86.2分，平均增加26.5分。并发症发生率10%。 　　结论：Scarf截骨术治疗中重度外翻可以获得较好的短期临床结果，但需严格掌握手术适应证。
배경：외번시최상견적전족기형，월래월수도교형외과의생적중시，기치료방식다충다양，여하선택괄합적수술방식시치료성공적관건。 　　목적：탐토Scarf절골술치료외번적료효。 　　방법：2010년7월지2012년6월，아원채용Scarf절골술치료중중도외번환자47례（61족），남5례（7족），녀42례（54족）；년령20~78세，평균52.2세。비교수술전후외번각급제1、2척골간각규정정도。채용AOFAS평분평고환자림상증상개선정황。 　　결과：소유환자균획득수방，수방시간4~8개월，평균6개월。외번각유술전42.6°감소지12.9°，평균감소29.7°。제1、2척골간각유술전18.4°감소지8.9°，평균감소9.5°。AOFAS평분유술전49.9분증가지술후86.2분，평균증가26.5분。병발증발생솔10%。 　　결론：Scarf절골술치료중중도외번가이획득교호적단기림상결과，단수엄격장악수술괄응증。
Background:Hallux valgus is the most common deformity in forefoot. There are many treatments for it. Therefore, it is very important to choose an appropriate surgical therapy for each patient. Objective:The purpose of the study is to explore the efficacy of Scarf osteotomy for the treatment of hallux valgus. Methods:From July 2010 to June 2012, 47 patients with 61 feet underwent Scarf osteotomy for the treatment of moderate to severe hallux valgus. There were 5 males (7 feet) and 42 females (54 feet) with an average age of 52.2 years (range, 20-78 years). The hallux valgus angle(HVA) and intermetatarsal angle (IMA) were compared before and after surgery. Clinical outcomes were assess by American Orthopedic Foot and Ankle Society (AOFAS) scoring. Results:The mean duration of follow-up was 6 months in all the patients (range, 4-8 months). HVA was decreased by 29.7° (from 42.6° preoperative to 12.9° postoperative). IMA was decreased by 9.5° (from 18.4° preoperative to 8.9° postopera-tive). AOFAS score was increase by 26.5 points (49.6 points preoperative to 86.2 points). The incidence of complications was 10%. Conclusions:Satisfied short-term clinical outcomes can be achieved by Scarf osteotomy for moderate or severe hallux val-gus. However, indications should be mastered before treatment.