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Consideration of Various Medial Capsulorrhaphy Methods in Hallux Valgus Surgery
J Korean Foot Ankle Soc. 2008;12:9-13
Published online June 1, 2008
© 2008 J Korean Foot Ankle Soc.

Choi, Sung-Jong;Kim, Byung-Cheol;Eun, Il-Soo;Huh, Jung-Wook

Department of Orthopaedic Surgery, Busan Medical Center, Busan, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Medial capsulorrhaphy is additional hallux reduction method following various hallux reduction procedures and we are going to report author's opinion about several methods of medial capsulorrhaphy. Materials and Methods: We performed three kinds of medial capsulotomy and imbricatory capsulorrhaphy in hallux valgus surgery. Through 8 cadavar study, we compared the easiness of sesamoid reduction and hallux valgus angle reduction. Also, we measured thickness of capsule in various portions. Results: Longitudinal capsule incision and imbrication was useful in sesamoid reduction and vertical procedures was useful in hallux valgus angle reduction. The capsule thickness was measured thickest in dorsal and distal portioin. Conclusion: The methods of medial capsulorrhaphy should be planned preoperatively considering individual hallux deformities. These selected medial capsulorrhaphy can help the reduction of hallux valgus deformity correction and its maintenance.
Keywords : Hallux valgus; Medial capsulorrhaphy


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