IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Università degli Studi di Catania, Catania, Italy.
Knee Surg Sports Traumatol Arthrosc. 2018 Mar;26(3):892-896. doi: 10.1007/s00167-016-4360-2. Epub 2016 Oct 15.
Medial displacement calcaneal osteotomy with flexor digitorum longus transfer is a common treatment for the management of the adult flatfoot associated with posterior tibial tendon dysfunction. In the literature, there is a paucity of information regarding the ability of patients to return to sport and recreational activities after this surgical procedure. The purpose of this retrospective clinical study was to assess the rate and type of athletic activities that patients participated in before and after medial displacement calcaneal osteotomy with flexor digitorum longus transfer.
A consecutive series of 42 patients with a mean age at surgery of 41 years (range 19-74 years) was evaluated with a minimum follow-up of 24 months (range 18-31 months). Pre- and post-operative sporting activities were assessed. At final follow-up, patients were asked to complete a Sports Athlete Foot and Ankle Score (SAFAS). Each patient was also evaluated with weight-bearing radiographs of the foot before surgery and at final follow-up.
Preoperatively, 27 of 42 (64.3 %) patients were engaged in athletic activities, participating in an average of 1.4 h/week (range 0-6 h/week); post-operatively, 36/42 (85.7 %) participated in sport and recreational activities for an average of 3.5 h/week (range 0-15 h/week). Meary's angle improved significantly from 11.5 ± 6.2 degrees preoperatively to 7.0 ± 5.7 degrees at final follow-up (p < 0.01); calcaneal pitch improved significantly from 16.5 ± 4.6 degrees to 19.0 ± 5.0 degrees (p < 0.01). At final follow-up, patients demonstrated good SAFASs in symptom tolerance (86.4 %), pain tolerance (89.0 %), daily living performance (96.1 %), and sports performance (86.7 %).
The majority of patients returned to sports and recreational activity after medial displacement calcaneal osteotomy and flexor digitorum longus for the treatment of adult flatfoot associated with posterior tibial tendon dysfunction.
III.
跟腱延长的内侧距骨移位截骨术是治疗伴有后胫肌腱功能障碍的成人扁平足的常用方法。文献中关于患者在接受这种手术后重返运动和娱乐活动的能力的信息很少。本回顾性临床研究的目的是评估患者在接受跟腱延长的内侧距骨移位截骨术后之前和之后参加的运动活动的类型和类型。
对 42 例平均年龄为 41 岁（19-74 岁）的连续患者进行评估，随访时间至少为 24 个月（18-31 个月）。评估术前和术后的运动活动。在最终随访时，患者完成了运动运动员足部和踝关节评分（SAFAS）。每位患者还在术前和最终随访时接受足部负重 X 线检查。
术前，42 例中有 27 例（64.3％）患者从事运动活动，平均每周参加 1.4 小时（范围为 0-6 小时/周）；术后，42 例中有 36 例（85.7％）参加运动和娱乐活动，平均每周 3.5 小时（范围为 0-15 小时/周）。Meary 角从术前的 11.5±6.2 度显着改善至最终随访时的 7.0±5.7 度（p<0.01）；跟骨倾斜度从术前的 16.5±4.6 度显着改善至 19.0±5.0 度（p<0.01）。在最终随访时，患者在症状耐受性（86.4％），疼痛耐受性（89.0％），日常生活表现（96.1％）和运动表现（86.7％）方面均表现出良好的 SAFAS。
大多数患者在接受跟腱延长的内侧距骨移位截骨术和后胫肌腱功能障碍相关的成人扁平足治疗后恢复了运动和娱乐活动。
III。
