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对患有夏科-马里-图思病的儿童手术治疗的高弓足畸形进行动态足底压力测定和影像学评估。

Dynamic pedobarography and radiographic evaluation of surgically treated cavovarus foot deformity in children with Charcot-Marie-Tooth disease.

作者信息

Erickson Steven, Hosseinzadeh Pooya, Iwinski Henry J, Muchow Ryan C, Talwalkar Vishwas R, Walker Janet L, Milbrandt Todd A

机构信息

Department of Orthopaedic Surgery, Shriners Hospital for Children, University of Kentucky, Lexington, Kentucky, USA.

出版信息

J Pediatr Orthop B. 2015 Jul;24(4):336-40. doi: 10.1097/BPB.0000000000000163.

Abstract

Pedobarography is a common tool for the evaluation of foot deformity. We describe our radiographic and pedobarographic outcomes of surgical treatment of cavovarus foot deformity in children with Charcot-Marie-Tooth disease. Nineteen patients for a total of 30 feet were included. Preoperative and postoperative dynamic pedobarographic measurements were made and analyzed using the five-mask technique. Pedobarographic measures showed statistical significance for increased contact area and decreased peak forces in most mask areas after surgical treatment. Peak pressure and redistribution of varus pressure patterns trended toward improvement. We found pedobarographic studies helpful; however, pedobarographic data are somewhat difficult to interpret and should be used in addition to clinical and radiographic examination.

摘要

足压力描记法是评估足部畸形的常用工具。我们描述了对患有夏科-马里-图思病的儿童进行马蹄内翻足畸形手术治疗的影像学和足压力描记法结果。纳入了19名患者共30只脚。使用五面罩技术进行术前和术后动态足压力描记测量并分析。足压力描记测量结果显示,手术治疗后大多数面罩区域的接触面积增加和峰值力降低具有统计学意义。峰值压力和内翻压力模式的重新分布有改善趋势。我们发现足压力描记法研究有帮助;然而,足压力描记法数据有点难以解释,应结合临床和影像学检查使用。

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