Journal article
Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity
Foot and ankle surgery, Vol.24(6), pp.530-534
12/2018
DOI: 10.1016/j.fas.2017.07.004
PMID: 29409268
Abstract
•The bunionette deformity is characterized by a painful prominence of the fifth metatarsal head.•Multiple surgical techniques have been described in the literature, but no single technique has proven to be superior.•We found that the Kramer osteotomy is an effective treatment option in patients with painful bunionette deformity.•We found an overall improvement in the mean values of FFI, 4-5 IMA, and MTP-5.
Bunionette deformity is a painful bony prominence of the 5th metatarsal. We evaluated outcomes of using a Kramer osteotomy to treat this condition.
Retrospective study of patients treated with a Kramer osteotomy from 2003 and 2016. Outcome measures included Foot Functional Index (FFI) and radiographic measurements.
38 patients (43 feet) with an average follow-up of 55 months. Mean postoperative FFI11Foot Functional Index. was 19.4. Mean 4-5 IMA224th-5th Intermetatarsal Angle. improved 3.9°, from 8.3° preoperatively to 4.4° on final postoperative films (p<0.01). Mean MTP-5335th Metatarsophalangeal Joint. angle improved 13.2° from 13.6° preoperatively to 0.4° at final follow-up (p<0.01). There were 5 delayed unions (11.6%) and 1 non-union (2.3%).
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.
Details
- Title: Subtitle
- Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity
- Creators
- David C Lee - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United StatesCesar de Cesar Netto - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United StatesJackson Rucker Staggers - Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, United StatesRebecca Siegel - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United StatesRichard Chen - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United StatesSu-Young Bae - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United StatesLew C Schon - Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United States
- Resource Type
- Journal article
- Publication Details
- Foot and ankle surgery, Vol.24(6), pp.530-534
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.fas.2017.07.004
- PMID
- 29409268
- ISSN
- 1268-7731
- eISSN
- 1460-9584
- Language
- English
- Date published
- 12/2018
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040490002771
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