手术时机是否会影响足部多指畸形治疗的长期效果？

Does timing of surgery influence the long-term results of foot polydactyly treatment?

作者信息

Kubat Ozren, Antičević Darko

机构信息

Department of Orthopaedic Surgery, Clinical Hospital Centre Zagreb, Šalata 6-7, 10000 Zagreb, Croatia.

Children's Hospital Zagreb, Vjekoslava Klaića 16, 10000 Zagreb, Croatia.

出版信息

Foot Ankle Surg. 2018 Aug;24(4):353-358. doi: 10.1016/j.fas.2017.04.001. Epub 2017 Apr 13.

DOI:10.1016/j.fas.2017.04.001

PMID:29409237

Abstract

BACKGROUND

There is an evident lack of research on timing of polydactyly surgery and its effects on treatment results.

METHODS

Retrospective comparative study on foot polydactyly patients treated at our department from 1995 to 2009. Patients were divided into 2 groups, group A - under the age of 5 at surgery, and group B - 5 years and older.

RESULTS

There were 24 patients (8 male, 16 female), 30 feet. Median age at surgery was 1 year (range, 9 months-4.5 years) for group A, and 8.5 years (range, 6-37 years) for group B. Median follow-up was 16.2 years (range, 7-21 years). There were 16 postaxial and 8 preaxial cases. At the last follow-up 12 patients' feet were "excellent" and 12 "good". No significant differences were identified between the two groups at final follow-up.

CONCLUSIONS

Timing of surgery for foot polydactyly is not crucial for final results.

摘要

背景

关于多指畸形手术时机及其对治疗效果影响的研究明显不足。

方法

对1995年至2009年在我科接受治疗的足部多指畸形患者进行回顾性比较研究。患者分为两组，A组——手术时年龄小于5岁，B组——5岁及以上。

结果

共有24例患者（8例男性，16例女性），30只脚。A组手术时的中位年龄为1岁（范围9个月至4.5岁），B组为8.5岁（范围6至37岁）。中位随访时间为16.2年（范围7至21年）。有16例轴后型和8例轴前型病例。在最后一次随访时，12例患者的足部为“优”，12例为“良”。两组在最终随访时未发现显著差异。