Shah Neil S, Needleman Richard L, Bokhari Omaima, Buzas David
Department of Orthopaedic Surgery, Wayne State University, Taylor, Michigan (NSS, RLN, OB, DB)
Department of Orthopaedic Surgery, Wayne State University, Taylor, Michigan (NSS, RLN, OB, DB).
Foot Ankle Spec. 2015 Jun;8(3):180-5. doi: 10.1177/1938640015578514. Epub 2015 Mar 26.
Subtalar arthroereisis (SA) has been a procedure used for the correction of painful flexible flatfoot deformity in adults and children. Clinical studies of patients who had a SA are sparse and with mixed results and variable indications. The purpose of this study was to determine the current practice among orthopaedic foot and ankle specialists regarding SA.
Web-based questionnaires were e-mailed to members of the American Orthopaedic Foot and Ankle Society (AOFAS). Requested information included demographics and practice patterns in regard to performing SA surgery. A total of 572 respondents completed the survey (32% response rate).
A total of 273 respondents (48%) have performed SA. Of this group, 187 respondents (69%) still perform this procedure (33% of total respondents currently perform SA). Of the respondents, 401 (70%) practice in the United States, 40% have performed SA, and 60% of those still perform this procedure. Of non-US respondents, 66% have performed SA, and 80% of those still perform it. The most common US indications are painful congenital flatfoot, posterior tibial tendon dysfunction, and flatfoot associated with accessory navicular.
Many doctors have performed SA, and a significant number no longer perform this procedure for various reasons. A greater percentage of non-US practitioners have performed and continue to perform SA than their counterparts in the United States. There is a common list of surgical indications. Most doctors who still perform this procedure have removed the implants, commonly for pain. SA is still being performed in the United States and throughout the world.
距下关节制动术（SA）一直是用于矫正成人和儿童疼痛性柔韧性扁平足畸形的一种手术方法。关于接受SA手术患者的临床研究较少，结果不一，适应证也各不相同。本研究的目的是确定骨科足踝专科医生目前在SA手术方面的实践情况。
通过电子邮件向美国足踝骨科协会（AOFAS）成员发送基于网络的调查问卷。所要求提供的信息包括进行SA手术的人口统计学资料和实践模式。共有572名受访者完成了调查（回复率为32%）。
共有273名受访者（48%）进行过SA手术。在这一组中，187名受访者（69%）仍在进行该手术（占目前所有受访者的33%）。在受访者中，401人（70%）在美国执业，其中40%进行过SA手术，且这些人中60%仍在进行该手术。在非美国受访者中，66%进行过SA手术，其中80%仍在进行该手术。美国最常见的适应证是疼痛性先天性扁平足、胫后肌腱功能障碍以及与副舟骨相关的扁平足。
许多医生都进行过SA手术，并且相当一部分医生由于各种原因不再进行该手术。与美国同行相比，非美国从业者中进行过且继续进行SA手术的比例更高。存在一份常见的手术适应证清单。大多数仍在进行该手术的医生已取出植入物，通常是因为疼痛。SA手术在美国和世界各地仍在开展。
