Faldini Cesare, Mazzotti Antonio, Panciera Alessandro, Persiani Valentina, Pardo Francesco, Perna Fabrizio, Giannini Sandro
1st Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.
Professor Emeritus, Orthopedics and Traumatology, University of Bologna - Alma Mater Studiorum, Bologna, Italy.
Eur J Orthop Surg Traumatol. 2018 May;28(4):707-712. doi: 10.1007/s00590-017-2119-1. Epub 2018 Jan 3.
Results of subtalar arthroereisis in flexible flatfoot have been mainly reported in the literature using clinical or radiographical findings. However, the aim of this study is to evaluate the patient-perceived quality of life using self-reported questionnaires after subtalar arthroereisis using a bioabsorbable implant.
Italian modified FFI and the SEFAS scores were submitted to a consecutive series of 173 patients who underwent surgical treatment for flatfoot deformity using a bioabsorbable endo-orthotic implant. Postoperative complication rates were assessed. Time needed to resume normal sports activities was recorded.
Mean population age was 11.2 years with slight variability between males and females. At a mean follow-up of 4 years, arthroereisis with bioabsorbable implants showed excellent results for the perception of the quality of life with an average result for FFI score of 4.5 and an average SEFAS score of 47.19. Time needed to resume sport activities was 4.7 months ± 0.2 with almost no difference between the groups. Four patients needed a second procedure for implant removal.
Arthroereisis using a bioabsorbable implant offers good results in terms of satisfaction and quality of life with a negligible rate of failures and patient complaints based on self-reported questionnaires. The patient reported high degrees of satisfaction, and their quality of life was not compromised at all by the procedure.
文献中主要通过临床或影像学检查结果报告距下关节制动术治疗柔韧性扁平足的效果。然而，本研究旨在使用生物可吸收植入物进行距下关节制动术后，通过自我报告问卷评估患者感知的生活质量。
对连续173例行生物可吸收内置矫形植入物治疗扁平足畸形手术的患者进行意大利改良足功能指数（FFI）和足踝外科协会（SEFAS）评分。评估术后并发症发生率。记录恢复正常体育活动所需时间。
平均人群年龄为11.2岁，男女之间差异不大。平均随访4年时，使用生物可吸收植入物的距下关节制动术在生活质量感知方面显示出优异结果，FFI评分平均为4.5，SEFAS评分平均为47.19。恢复体育活动所需时间为4.7个月±0.2个月，两组之间几乎没有差异。4例患者需要进行二次手术取出植入物。
根据自我报告问卷，使用生物可吸收植入物的距下关节制动术在满意度和生活质量方面效果良好，失败率和患者投诉率可忽略不计。患者报告高度满意，该手术完全未影响其生活质量。
