平脚重建治疗疼痛儿科异常症柔性平脚:前性研究表明改善了对齐,功能和患者报告的结果
Christopher J DeFrancesco1, Matthew S Conti1,2, Silvia Zanini3
1Department of Orthopaedic Surgery.
Journal of pediatric orthopedics
|December 25, 2023
概括
使用侧列延长 (LCL) 的儿科平脚重建手术改善了患者报告的结果. 虽然LCL改变了足部压力分布,但添加中枢形脚伸缩骨折 (MCPO) 有助于维持第一足骨头的负载共享.
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:
- 异形灵活平脚是一种常见的儿科疾病.
- 手术重建的目的是纠正脚部对齐,缓解疼痛.
研究的目的:
- 为了评估重建性手术的结果,对于儿科异常症的柔性平脚.
- 为了比较使用和不使用特定的外科手术技术的结果.
主要方法:
- 对25名儿童患者进行前性研究,这些患者接受了带侧柱延长 (LCL) 的平脚重建.
- 程序包括阿基里斯/胃半径延长,与中间侧软组织 (MSST) 的变化,中间形脚伸缩骨切除术 (MCPO),或介质化骨切除术.
- 评估了静态和动态脚部对齐,负载模式和患者报告的结果 (PRO).
主要成果:
- 手术后观察到放射性参数和患者报告结果的显著改善.
- 侧柱延长 (LCL) 改变了压力分布,但没有使其正常化.
- 中间形脚伸缩骨切除术 (MCPO) 阻止了第一个甲足头部负载共享的显著减少.
结论:
- 使用LCL和足延伸的平脚重建改善了患者报告的结果.
- LCL修改了足部压力负载模式.
- 在平脚重建期间,MCPO有利于维持第一个甲足头部的负载共享.
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