因胫后肌腱功能障碍导致的成人后天性平足症手术可减轻疼痛，改善功能及与健康相关的生活质量。
Surgery for adult acquired flatfoot due to posterior tibial tendon dysfunction reduces pain, improves function and health related quality of life.
作者信息
Cöster M C, Rosengren B E, Bremander A, Karlsson M K
机构信息
Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital Malmö, Sweden.
Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital Malmö, Sweden.
出版信息
Foot Ankle Surg. 2015 Dec;21(4):286-9. doi: 10.1016/j.fas.2015.04.003. Epub 2015 Apr 24.
BACKGROUND
Patients with adult acquired flatfoot deformity (AAFD) due to posterior tibial tendon dysfunction (PTTD) may require surgery but few reports have evaluated the outcome.
METHODS
We evaluated 21 patients with a median age of 60 (range 37-72) years who underwent different surgical reconstructions due to stage II AAFD before and 6 and 24 months after surgery by the validated Self-Reported Foot and Ankle Score (SEFAS), Short Form 36 (SF-36) and Euroquol 5 Dimensions (EQ-5D).
RESULTS
The improvement from before to 24 months after surgery was in SEFAS mean 12 (95% confidence interval 8-15), SF-36 physical function 21 (10-22), SF-36 bodily pain 28 (17-38), EQ-5D 0.2 (0.1-0.3) and EQ-VAS 11 (2-21).
CONCLUSION
Surgery for AFFD due to PTTD results in reduced pain and improved function and health related quality of life. The outcome scores have been demonstrated as useful. It has also been shown, since there is a further improvement between 6 and 24 months after surgery, that a minimum follow-up of 2 years is needed.
LEVEL OF CLINICAL EVIDENCE
III - prospective observational cohort study.
背景
因胫后肌腱功能障碍（PTTD）导致成人获得性平足畸形（AAFD）的患者可能需要手术治疗，但很少有报告评估其手术效果。
方法
我们评估了21例患者，他们的中位年龄为60岁（范围37 - 72岁），因II期AAFD接受了不同的手术重建，在术前、术后6个月和24个月通过经过验证的自我报告足踝评分（SEFAS）、简短健康调查问卷36项（SF - 36）和欧洲五维健康量表（EQ - 5D）进行评估。
结果
从术前到术后24个月的改善情况为：SEFAS平均改善12分（95%置信区间8 - 15），SF - 36身体功能改善21分（10 - 22），SF - 36身体疼痛改善28分（17 - 38），EQ - 5D改善0.2（0.1 - 0.3），EQ - VAS改善11分（2 - 21）。
结论
因PTTD导致的AFFD手术可减轻疼痛，改善功能和与健康相关的生活质量。结果评分已被证明是有用的。还表明，由于术后6个月至24个月之间仍有进一步改善，因此需要至少2年的随访。
临床证据水平
III - 前瞻性观察队列研究。
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