Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.
Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.
- 2018
Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
BACKGROUND: Bunionette deformity is a painful bony prominence of the 5th metatarsal. We evaluated outcomes of using a Kramer osteotomy to treat this condition. CONCLUSIONS: The Kramer osteotomy is an effective treatment option in patients with bunionette deformity, with significant correction of the 4-5 IM2 and MTP-53 angles and few complications. Copyright (c) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. METHODS: Retrospective study of patients treated with a Kramer osteotomy from 2003 and 2016. Outcome measures included Foot Functional Index (FFI) and radiographic measurements. RESULTS: 38 patients (43feet) with an average follow-up of 55 months. Mean postoperative FFI1 was 19.4. Mean 4-5 IMA2 improved 3.9degree, from 8.3degree preoperatively to 4.4degree on final postoperative films (p<0.01). Mean MTP-53 angle improved 13.2degree from 13.6degree preoperatively to 0.4degree at final follow-up (p<0.01). There were 5 delayed unions (11.6%) and 1 non-union (2.3%).
English
1268-7731
10.1016/j.fas.2017.07.004 [doi] S1268-7731(17)30135-2 [pii]
*Bunion, Tailor's/dg [Diagnostic Imaging]
*Bunion, Tailor's/su [Surgery]
*Osteotomy/mt [Methods]
Female
Humans
Male
Metatarsal Bones/su [Surgery]
Middle Aged
Retrospective Studies
Treatment Outcome
MedStar Union Memorial Hospital
Orthopaedic Surgery
Journal Article
Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
BACKGROUND: Bunionette deformity is a painful bony prominence of the 5th metatarsal. We evaluated outcomes of using a Kramer osteotomy to treat this condition. CONCLUSIONS: The Kramer osteotomy is an effective treatment option in patients with bunionette deformity, with significant correction of the 4-5 IM2 and MTP-53 angles and few complications. Copyright (c) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. METHODS: Retrospective study of patients treated with a Kramer osteotomy from 2003 and 2016. Outcome measures included Foot Functional Index (FFI) and radiographic measurements. RESULTS: 38 patients (43feet) with an average follow-up of 55 months. Mean postoperative FFI1 was 19.4. Mean 4-5 IMA2 improved 3.9degree, from 8.3degree preoperatively to 4.4degree on final postoperative films (p<0.01). Mean MTP-53 angle improved 13.2degree from 13.6degree preoperatively to 0.4degree at final follow-up (p<0.01). There were 5 delayed unions (11.6%) and 1 non-union (2.3%).
English
1268-7731
10.1016/j.fas.2017.07.004 [doi] S1268-7731(17)30135-2 [pii]
*Bunion, Tailor's/dg [Diagnostic Imaging]
*Bunion, Tailor's/su [Surgery]
*Osteotomy/mt [Methods]
Female
Humans
Male
Metatarsal Bones/su [Surgery]
Middle Aged
Retrospective Studies
Treatment Outcome
MedStar Union Memorial Hospital
Orthopaedic Surgery
Journal Article