[1]田 钊,喻姿瑞,徐军奎,等.Hyprocure距下关节稳定器与截骨术治疗儿童柔韧性平足中期疗效对比研究[J].陕西医学杂志,2022,51(12):1532-1535,1539.[doi:DOI:10.3969/j.issn.1000-7377.2022.12.015]
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Hyprocure距下关节稳定器与截骨术治疗儿童柔韧性平足中期疗效对比研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年12期
页码:
1532-1535,1539
栏目:
临床研究
出版日期:
2022-12-05

文章信息/Info

作者:
田 钊1; 喻姿瑞2; 徐军奎3; 韩娟丽1; 张红星1
(1.西安交通大学附属红会医院手外科,陕西 西安 710054; 2.西安交通大学附属红会医院骨显微修复外科,陕西 西安 710054; 3.西安交通大学附属红会医院足踝外科,陕西 西安 710054)
关键词:
柔韧性平足;  距下关节稳定器;  截骨术;  跗骨;  儿童
分类号:
R 726.8
DOI:
DOI:10.3969/j.issn.1000-7377.2022.12.015
文献标志码:
A
摘要:
目的:比较Hyprocure距下关节稳定器与截骨术治疗儿童柔韧性平足的中期疗效。方法:选择儿童柔韧性平足患者59例(103足),按照治疗方式不同分为A组(31例,56足,应用Hyprocure距下关节稳定器治疗)和B组(28例,47足,应用截骨术治疗)。术前及末次随访时采用疼痛视觉模拟量表(VAS)评分对所有患者进行疼痛改善程度评估,调查所有患者术后满意度情况,采用Maryland足功能评分及美国足踝外科协会(AOFAS)踝与后足功能评分进行足部功能评价。测量术前及末次随访时所有患者足部负重正位X线片中距舟覆盖角(TCA)、距骨第1跖骨角(T1MT)以及距骨第2跖骨角(T2MT),并测量负重侧位X线片中跟骨距骨角(Kite角)、跟骨倾斜角(Pitch角)以及距骨第1跖骨角(Meary's角)。比较两组末次随访时临床评分及影像学角度变化情况。结果:所有患者均获得完整随访,随访时间53～71个月,平均(61.8±3.7)个月。两组患者末次随访时患足畸形外观改善情况均较明显,行走及步态方面较术前有显著改善,但两组优良率比较差异无统计学意义(P>0.05)。末次随访时两组患者VAS评分较术前降低(均P<0.05),但两组改善情况比较差异无统计学意义(P>0.05)。末次随访时两组患者Maryland评分较术前显著增加(均P<0.05),但两组改善情况比较差异无统计学意义(P>0.05)。末次随访时两组患者AOFAS评分也得到了显著增加(均P<0.05),但两组改善情况比较差异无统计学意义(P>0.05)。两组患者满意度比较差异无统计学意义(P>0.05)。末次随访时足负重正位X线片中,两组患者T1MT、T2MT、TCA较术前减小(均P<0.05),但两组改善情况比较差异无统计学意义(均P>0.05)。末次随访时足负重侧位X线片中,两组患者Meary's角均较术前减小(P<0.05),Pitch角较术前增加(P<0.05),但两组改善情况比较差异无统计学意义(均P>0.05); 两组Kite角较术前减小,且A组改善情况优于B组(均P<0.05)。两组患者并发症发生情况比较差异无统计学意义(P>0.05)。结论:Hyprocure距下关节稳定器与截骨术治疗儿童柔韧性平足中期临床疗效相当,但在Kite角改善程度上更具优势。

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备注/Memo

备注/Memo:
基金项目:陕西省提升公众科学素质计划项目(2021PSL27)
更新日期/Last Update: 2022-12-05