卡尔卡内斯托普:一个有效的手术技术,以纠正儿童的症状灵活的平脚
Leonardo Lima de Almeida1, Paulo Henrique Bortolin1, Diego Polizello1
1Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Revista brasileira de ortopedia
|April 25, 2025
概括
对于柔性青少年valgus平脚的calcaneo-stop技术显著改善了年轻患者的症状和X线图对齐. 这种talocalcaneal arthroereisis方法为这种常见的足部疾病提供了低发病率的手术选择.
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:
- 柔性青少年valgus平脚是常见的,通常是自我解决的.
- 症状病例可能需要手术干预,但传统方法的发病率很高.
- 额外关节的talocalcaneal关节炎症提供了一个具有成本效益的,低发病率的替代方案.
研究的目的:
- 评估柔性青少年valgus平脚的calcaneo-stop技术的临床和放射结果.
- 评估小儿病患者的胆干关节炎的疗效和安全性.
主要方法:
- 在青春期前的患者中使用卡尔卡诺停止技术 (talocalcaneal arthroereisis) 进行手术治疗.
- 对症状的临床评估和对米里角,角覆盖面和其他对齐参数的放射评估.
- 对23名患者 (44英尺) 的随访评估,平均28个月.
主要成果:
- 90%的患者经历了明显的改善或症状的消失.
- 在所有测量参数中观察到显著的放射性改善 (p < 0.001),接近正常值.
- 报告的并发症率为13.6%,主要是局部化手术部位疼痛.
结论:
- 通过Calcaneo-Stop技术进行的Talocalcaneal关节缩,有效地纠正了柔性青少年valgus平脚形.
- 该程序显示了有利的临床和放射性结果,并发症率低.
- 这种手术方法是治疗严重或有症状的病例的可行选择.
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