在儿童有症状的柔性平脚患者中,带有塔拉螺丝的关节变
Andrzej Bobiński1, Łukasz Tomczyk2, Marcin Pelc3
1Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, Poland.
Journal of clinical medicine
|December 9, 2023
概括
儿童有症状的柔性平脚 (pes planovalgus) 经过塔拉尔螺杆手术显著改善. 这种治疗减轻了疼痛,提高了体力活动水平,验证了关节炎作为一种有效的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 脚和脚手术 脚和脚手术
背景情况:
- 平脚 (Pes planovalgus) 或柔性平脚是一种常见的儿科骨科疾病.
- 缺乏使用关节炎症的症状性 pes planovalgus 的治疗共识.
- 这项研究评估了Spherus talar螺丝用于治疗症状性pes planovalgus.
研究的目的:
- 用塔拉尔螺丝对症状性pes planovalgus治疗后的功能结果进行前性评估.
- 评估塔拉尔螺旋关节炎对疼痛,身体活动和足部功能的影响.
主要方法:
- 对27名儿童患者 (平均年龄10.5岁) 进行前性研究,这些患者接受了塔拉尔螺丝植入.
- 使用UCLA和VAS尺度评估身体活动,通过VAS评估疼痛,使用FFI-R评估足部功能.
- 测量脚关节的移动性,并比较手术前后的运动范围.
主要成果:
- 在体力活动 (VAS和UCLA尺度) 和减少疼痛 (VAS分数) 中观察到显著的改善.
- 足部功能显著改善,这是FFI-R得分所表明的.
- 手术后没有发现足关节运动范围 (背部曲,脚部曲,引,绑架) 的显著变化.
结论:
- 塔拉螺旋关节炎有效降低疼痛,并改善儿科患者的功能结果有症状的 pes planovalgus.
- 该程序可以提高身体和体育活动水平,而不会对脚关节的移动性产生负面影响.
- 使用塔拉尔螺丝的关节化是一种已验证和有效的手术治疗症状的 pes planovalgus.
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