후족부 외반을 동반한 증상이 있는 부주상골 환자에서 시행한 내측 전위 종골 절골술과 Kidner 술식을 동시에 시행한 결과 = Results of Kidner Procedure Combined with Medial Displacement Calcaneal Osteotomy for the Symptomatic Accessory Navicular with Hindfoot Valgus

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to evaluate the results of Kidner procedure combined with medial displacement calcaneal osteotomy (MDCO) in patients with the symptomatic accessory navicular with hindfoot valgus.
Materials and Methods: From January 2014 to January 2019, fifteen patients (15 cases) who had undergone a Kidner procedure combined with MDCO for symptomatic accessory navicular with hindfoot valgus were included. Their mean age was 36.3 years old (19∼61 years old) and there were 6 males and 9 females. The clinical results were evaluated using visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, and postoperative subjective satisfaction. The radiographic results were evaluated using the talonavicular coverage angle and the anteroposterior talo-first metatarsal angle, the lateral talo-first metatarsal angle, the calcaneal pitch angle, and the hindfoot alignment angle. The postoperative complications were also evaluated.
Results: The VAS and AOFAS midfoot scores continuously improved until 12 months after surgery. Subjective satisfaction after surgery was excellent in 10 cases and good in 5 cases. The hindfoot alignment angle significantly changed after surgery. Pain due to lateral impingement disappeared in five patients, and persisted in one patient. Five patients complained of irritation caused by their fixation devices, and all the symptoms improved after removal of the fixation devices.
Conclusion: Kidner procedure combined with MDCO in patients with the symptomatic accessory navicular with hindfoot valgus showed good clinical results with satisfactory correction of hindfoot valgus. In particular, the clinical results showed continuous improvement until 12 months after surgery.

참고문헌 (Reference)

1 Zadek I, "The significance of the accessory tarsal scaphoid" 8 : 618-626, 1926

2 Flemister AS, "The relationship between ankle, hindfoot, and forefoot position and posterior tibial muscle excursion" 28 : 448-455, 2007

3 Kanatli U, "The relationship between accessory navicular and medial longitudinal arch : evaluation with a plantar pressure distribution measurement system" 24 : 486-489, 2003

4 Kidner FC, "The prehallux(accessory scaphoid)in its relation to flatfoot" 11 : 831-837, 1929

5 Lawson JP, "The painful accessory navicular" 12 : 250-262, 1984

6 Sella EJ, "The accessory navicular synchondrosis" (209) : 280-285, 1986

7 Ugolini PA, "The accessory navicular" 9 : 165-180, 2004

8 Ray S, "Surgical treatment of the accessory navicular" (177) : 61-66, 1983

9 Hiller L, "Surgical treatment of acquired flatfoot deformity:what is the state of practice among academic foot and ankle surgeons in 2002?" 24 : 701-705, 2003

10 최홍준, "Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon" 대한정형외과학회 9 (9): 232-238, 2017

11 Jasiewicz B, "Results of simple excision technique in the surgical treatment of symptomatic accessory navicular bones" 14 : 57-61, 2008

12 Catanzariti AR, "Posterior calcaneal displacement osteotomy for adult acquired flatfoot" 39 : 2-14, 2000

13 Nakayama S, "Percutaneous drilling of symptomatic accessory navicular in young athletes" 33 : 531-535, 2005

14 Garras DN, "Outcome of modified Kidner procedure with subtalar arthroereisis for painful accessory navicular associated with planovalgus deformity" 33 : 934-939, 2012

15 Chung JW, "Outcome of fusion of a painful accessory navicular to the primary navicular" 30 : 106-109, 2009

16 Vaughan P, "Ongoing pain and deformity after an excision of the accessory navicular" 19 : 541-553, 2014

17 Malicky ES, "Modification of the Kidner procedure with fusion of the primary and accessory navicular bones" 20 : 53-54, 1999

18 Weinfeld SB, "Medial slide calcaneal osteotomy. Technique, patient selection, and results" 6 : 89-94, 2001

19 Cao HH, "Medial displacement calcaneal osteotomy with posterior tibial tendon reconstruction for the flexible flatfoot with symptomatic accessory navicular" 53 : 539-543, 2014

20 Arangio GA, "Medial displacement calcaneal osteotomy reduces the excess forces in the medial longitudinal arch of the flat foot" 16 : 535-539, 2001

21 Prichasuk S, "Kidner procedure for symptomatic accessory navicular and its relation to pes planus" 16 : 500-503, 1995

22 Wood WA, "Incidence of os tibiale externum in clinical pes planus" 60 : 276-279, 1970

23 Veitch JM, "Evaluation of the Kidner procedure in treatment of symptomatic accessory tarsal scaphoid" (131) : 210-213, 1978

24 Tomita F, "Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone-patellar tendon-bone graft in anterior cruciate ligament reconstruction" 17 : 461-476, 2001

25 Kopp FJ, "Clinical outcome of surgical treatment of the symptomatic accessory navicular" 25 : 27-30, 2004

26 Leonard ZC, "Adolescent accessory navicular" 15 : 337-347, 2010

27 Park MJ, "A comparative study of the healing of tendon autograft and tendon-bone autograft using patellar tendon in rabbits" 25 : 35-39, 2001