Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.
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: 2018Local holdings: Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007ISSN:- 1268-7731
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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 IM<sup>2</sup> and MTP-5<sup>3</sup> 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 FFI<sup>1</sup> was 19.4. Mean 4-5 IMA<sup>2</sup> improved 3.9degree, from 8.3degree preoperatively to 4.4degree on final postoperative films (p<0.01). Mean MTP-5<sup>3</sup> 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%).
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