Aydin Bahattin K, Senaran Hakan, Yilmaz Guney, Acar Mehmet A, Kirac Yunus
Department of Orthopaedics, Faculty of Medicine, Selcuk University, Konya, Turkey.
J Pediatr Orthop B. 2015 Jul;24(4):341-4. doi: 10.1097/BPB.0000000000000194.
The aim of this study was to determine whether the need for tenotomy can be predicted at the initiation or during the treatment of the clubfoot treatment according to the Ponseti method. One hundred and eight feet of 77 babies who required tenotomy and who did not were compared statistically according to the parameters of sex, side, bilaterality, presentation day, number of casts, Pirani scores, and the percentage change in Pirani scores, respectively. The mean number of casts required, the initial Pirani scores, and the percentage change in Pirani scores were significantly different between the groups that required tenotomy and the groups that did not (P=0.0001). Pirani scores at the beginning and the percentage change in Pirani scores during the treatment can be used to estimate the need for Achilles tenotomy.
本研究的目的是确定根据庞塞蒂方法在马蹄内翻足治疗开始时或治疗期间，是否可以预测跟腱切断术的必要性。分别根据性别、患侧、双侧性、就诊日、石膏固定次数、皮拉尼评分以及皮拉尼评分的变化百分比等参数，对77例需要跟腱切断术和不需要跟腱切断术的婴儿的108只脚进行了统计学比较。需要跟腱切断术的组和不需要跟腱切断术的组之间，所需石膏固定的平均次数、初始皮拉尼评分以及皮拉尼评分的变化百分比存在显著差异（P = 0.0001）。治疗开始时的皮拉尼评分以及治疗期间皮拉尼评分的变化百分比可用于估计跟腱切断术的必要性。
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