脑瘫患儿拇外翻畸形的非融合矫正术

Hallux valgus deformity correction without fusion in children with cerebral palsy.

作者信息

Bayhan Ilhan A, Kadhim Muayad, Sees Julieanne P, Nishnianidze Tristan, Rogers Kenneth J, Er Mehmet S, Miller Freeman

机构信息

Department of Orthopaedics, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.

出版信息

J Pediatr Orthop B. 2017 Mar;26(2):164-171. doi: 10.1097/BPB.0000000000000419.

DOI:10.1097/BPB.0000000000000419

PMID:27941531

Abstract

UNLABELLED

This study aimed to evaluate the outcomes of nonarthrodesis surgical treatment of hallux valgus (HV) deformity in children with cerebral palsy using radiographic and gait analysis parameters. There were 25 patients who had hallux valgus correction in 39 feet. The mean age at surgery was 15±2.8 years and the mean follow-up duration was 14.6 months. The first metatarsal osteotomy was performed in nine feet, bunionectomy in 25 feet, and Aiken osteotomy in 32 feet. None had metatarsophalangeal joint fusion. We observed a significant correlation between HV correction and other foot and ankle gait parameters. Our study showed correction of HV deformity at short-term follow-up without fusion of the metatarsophalangeal joint.

LEVEL OF EVIDENCE

Level IV Therapeutic Studies.

摘要

未标注

本研究旨在使用影像学和步态分析参数评估脑瘫儿童拇外翻（HV）畸形的非关节融合手术治疗效果。25例患者的39只脚接受了拇外翻矫正。手术时的平均年龄为15±2.8岁，平均随访时间为14.6个月。9只脚进行了第一跖骨截骨术，25只脚进行了拇囊炎切除术，32只脚进行了艾肯截骨术。均未进行跖趾关节融合。我们观察到HV矫正与其他足踝步态参数之间存在显著相关性。我们的研究表明，在短期随访中可矫正HV畸形，且无需进行跖趾关节融合。