Normal view MARC view ISBD view

Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.

MedStar author(s):

Citation: Journal of Foot & Ankle Surgery. 24(6):530-534, 2018 Dec.PMID: 29409268Institution: MedStar Union Memorial HospitalDepartment: Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 OutcomeYear: 2018 Local holdings: Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007ISSN:

1268-7731

Name of journal: Foot and ankle surgery : official journal of the European Society of Foot and Ankle SurgeonsAbstract: 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%).All authors: Bae SY, Chen R, de Cesar Netto C, Lee DC, Schon LC, Siegel R, Staggers JRFiscal year: FY2019Fiscal year of original publication: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.fas.2017.07.004

Date added to catalog: 2018-02-20

Holdings ( 1 )
Title notes ( 7 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29409268	Available		29409268

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.

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