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Rotational Long Scarf Osteotomy on Hallux Valgus in Elderly Patients with Osteoporosis by Nam, Il Hyun; Kim, Dae Geun; Lee, Young Hoon; Lee, Dong Hyun; Choi, Young Duk; Lee, Hee Hyung is a Medicine article available to read on EtoBox.

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Purpose: This paper reports an experience of rotational long scarf osteotomy for elderly patients with a hallux valgus deformity. Materials and Methods: From January 2005 to July 2014, 37 cases in 24 patients over 70 years of age, who received rotational long scarf osteotomy for hallux valgus and were followed-up for at least 3 years, were evaluated. The bone mineral density (BMD) was checked in all cases preoperatively. The mean age at surgery was 73.9 years old. The mean follow-up period was 5.1 years. The plantar head fragment was rotated medially to correct the distal metatarsal articular angle (DMAA) and to cross the two cortices to form an "X" shape to prevent troughing. In the operating room, the DMAA was measured before and after rotation of the plantar head fragment. The hallux valgus angle, 1st intermetatarsal angle, range of motion of the first metatarsophalangeal (MTP) joint and American Orthopedic Foot and Ankle Society (AOFAS) score were measured both preoperatively and in the final follow-up. In addition, stress fractures were checked in the routine follow-ups. ## Results: The average T-score of the preoperative BMD was -3.54. The mean DMAA measured in the operation

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Author

Nam, Il Hyun; Kim, Dae Geun; Lee, Young Hoon; Lee, Dong Hyun; Choi, Young Duk; Lee, Hee Hyung

Publisher

The Korean Orthopaedic Association (KAMJE); The Korean Orthopaedic Association (ISSN 1226-2102)

Published

2018

Language

KO

Field

Medicine (Health Sciences)