不为零的皮拉尼得分在由于空脚跟而被纠正的脚:一个预后困境
Sitanshu Barik1, Anil Agarwal2
1Orthopedics, All India Institute of Medical Sciences, Nagpur, India.
Journal of clinical orthopaedics and trauma
|January 10, 2024
概括
皮拉尼评分系统 (PSS) 在Ponseti造过程中有效地跟踪异常 clubfoot 纠正. 关键的形,如后部纹和硬的马骨,在切术后显著改善.
科学领域:
- 整形外科 整形外科 整形外科
- 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:
- 异形脚是婴儿常见的一种先天性足部形.
- 庞塞蒂方法,涉及连续造,有时还涉及切,是主要的治疗方法.
- 准确评估形纠正对于成功的治疗结果至关重要.
研究的目的:
- 为了评估Pirani评分系统 (PSS) 个别组件的序列变化,在Ponseti方法的操纵和切阶段用于异常类 clubfoot.
- 通过在支架前在治疗结束时分析非零的PSS得分来确定残留变形.
主要方法:
- 这项研究评估了28名婴儿使用六组件PSS的42种异形脚.
- 在每个访问中记录了个别的PSS组件得分,直到支架前阶段,有或没有切.
- 进行了统计分析,以确定整个治疗阶段PSS得分的显著变化.
主要成果:
- 所有六个PSS组件都显示了从初始造到前切割造的显著改善.
- 经过切除术后,后部纹 (0.4到0.1) 和刚性马匹 (0.8到0.1) 的得分有显著的减少.
- 在启动支架时,66.7%的脚表现出异常的空脚标志 (得分为0.5或1).
结论:
- 皮拉尼评分系统的各个组成部分在整个庞塞蒂治疗过程中都显示出可变校正.
- 曲率侧边缘和舌头部件的纠正往往是在切之前进行的.
- 后面的纹和硬的马脚表现出显著的改善后割术,而空脚跟标志需要仔细解释.
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