Alsancak Serap, Guner Senem, Kinik Hakan
Ankara University, Prosthetics and Orthotics Department, Ankara, Turkey.
Prosthet Orthot Int. 2013 Oct;37(5):375-83. doi: 10.1177/0309364612471369. Epub 2013 Jan 23.
Infantile tibia vara is an acquired form of tibial deformity associated with tibial varus and internal torsion. Several methods have been described for orthotics treatment. The purpose of this study was to determine the effectiveness of orthotics treatment in infantile tibia vara.
Controlled trial.
The aim of this study was to compare the effect of different types of orthoses and correction methods on decreasing the curve in children with severe genu varum.
Three different types of knee-ankle-foot orthoses were applied to 35 lower extremities of 22 pediatric participants who were 19-38 months of age. The same orthotic design principles were used to correct the femur, while different designs were applied to correct the tibia. The orthoses used on 20 participants were evaluated for differences among them and their effects on the treatment process. In addition, methods used in the treatment, problems encountered, production of different types of orthoses, convenience of application of the orthoses, and degree of patients satisfaction are discussed in this article.
The mean duration of treatment of the participants until completion of treatment was 25.3 ± 9.7 weeks with a minimum of 9 weeks and a maximum of 41 weeks. No statistically significant correlation was found between the duration of orthotic use in patients with a successful outcome and percentile height and percentile weight. When the duration of treatment using the different types of orthoses was analyzed, significant differences were found between Type 1 and Type 2, and Type 1 and Type 3 orthoses (p < 0.05), while no difference was observed between Type 2 and Type 3 orthoses (p > 0.05).
We found that bracing is an effective form of treatment for infantile tibia vara up to 38 months of age. We conclude that full-time use of knee-ankle-foot orthoses exerting corrective forces from five points along the full length of the limb was effective.
婴儿型胫骨内翻是一种后天性胫骨畸形，与胫骨内翻和内旋有关。已有多种用于矫形器治疗的方法被描述。本研究的目的是确定矫形器治疗婴儿型胫骨内翻的有效性。
对照试验。
本研究的目的是比较不同类型矫形器和矫正方法对减轻重度膝内翻儿童畸形程度的效果。
对22名年龄在19至38个月的儿科参与者的35条下肢应用了三种不同类型的膝踝足矫形器。采用相同的矫形器设计原则矫正股骨，同时应用不同设计矫正胫骨。对20名参与者使用的矫形器进行了评估，比较它们之间的差异及其对治疗过程的影响。此外，本文还讨论了治疗中使用的方法、遇到的问题、不同类型矫形器的制作、矫形器应用的便利性以及患者的满意度。
参与者直至治疗完成的平均治疗时长为25.3±9.7周，最短9周，最长41周。治疗成功的患者使用矫形器的时长与身高百分位数和体重百分位数之间未发现统计学上的显著相关性。分析使用不同类型矫形器的治疗时长时，发现1型和2型以及1型和3型矫形器之间存在显著差异（p<0.05），而2型和3型矫形器之间未观察到差异（p>0.05）。
我们发现支具治疗对于38个月以下的婴儿型胫骨内翻是一种有效的治疗方式。我们得出结论，沿肢体全长从五个点施加矫正力的全时使用膝踝足矫形器是有效的。
