跟腱延长术治疗马蹄内翻足的随访研究——不同评分系统的演变
Follow up of complete subtalar release for clubfoot--Evolution of different scores.
机构信息
Department of Trauma Surgery, University of Giessen and Marburg in Giessen, Rudolf-Buchheimstr. 7, 35385 Giessen, Germany.
出版信息
Foot Ankle Surg. 2012 Mar;18(1):55-61. doi: 10.1016/j.fas.2011.03.006. Epub 2011 Apr 13.
BACKGROUND
Even today there are still some cases of clubfoot that require a more extensive form of treatment. Thus, it is still essential to ascertain the development of the clubfoot after extensive release operations.
METHOD
70 children presenting 99 cases of primary clubfoot (age 8 months-10 years) were followed up after 4.5 and 9 years following complete subtalar release. Function, clinical and radiological results as well as 3 scores were assessed at both dates.
RESULTS
Function and pain worsened between the two follow-up periods, whereas objective clinical and radiological results remained equivalent. 44-79% were rated good or excellent depending on the scoring system applied.Older children with primary clubfoot had comparable results to children operated on at a younger age; also pre-operated feet achieved similar results.
CONCLUSION
In our opinion the results justify keeping complete release in mind as an alternative method in cases of severe residual and recurrent clubfoot.
背景
即使在今天，仍有一些马蹄足需要更广泛的治疗形式。因此，确定广泛松解术后马蹄足的发展仍然至关重要。
方法
4.5 年和 9 年后，对 70 名儿童（年龄 8 个月至 10 岁）的 99 例原发性马蹄足（初次发病）病例进行了随访。在这两个随访时间点，对功能、临床和影像学结果以及 3 个评分进行了评估。
结果
功能和疼痛在两个随访期间恶化，而客观的临床和影像学结果保持不变。根据应用的评分系统，44-79%的病例被评为良好或优秀。患有原发性马蹄足的大龄儿童与年龄较小的儿童手术结果相当；而且，术前的患足也取得了相似的结果。
结论
我们认为，这些结果证明了在严重残余和复发性马蹄足的情况下，保留完全松解术作为一种替代方法是合理的。
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