Martinelli Nicolò, Bianchi Alberto, Prandoni Lorenzo, Maiorano Emanuele, Sansone Valerio
IRCCS Galeazzi, Via R. Galeazzi 4, 20100 Milan, Italy.
Department of Orthopedics, University of Milan, 20122 Milan, Italy.
J Clin Med. 2021 Jan 24;10(3):451. doi: 10.3390/jcm10030451.
The true impact of surgery for flatfoot deformities on patient's quality of life and health status remains poorly defined. The aim of this study is to evaluate the quality of life and the return to daily tasks and sports or physical activities in young adults after surgical correction of flatfoot deformity. Patients treated for bilateral symptomatic flat foot deformity were retrospectively studied. The healthy control group comprised a matched reference population with no history of foot surgery or trauma that was voluntary recruited from the hospital community. All subjects were asked to fill out questionnaires centered on the assessment of the health-related quality of life (Short-form 36; SF-36) and physical activity (International Physical Activity Questionnaire; IPAQ). Most study group SF-36 subscales were lower when compared to the control group. Among the study group, post-operatively, 36.6% of patients managed to resume low levels of sports activity, 40% were sufficiently active and were able to perform moderate sports activity (an activity that requires moderate physical effort and which forces the patient to breathe with a frequency only moderately higher than normal), while 23.3% of them were active or very active and were able to perform intense physical activity. Most IPAQ scores were statistically different from the control group. The present study suggests that patients treated with medializing calcaneal osteotomy and navicular-cuneiform arthrodesis for symptomatic flafoot had lower levels of quality of life and physical activity when compared to healthy subjects. After surgery, patients showed a significant improvement in the clinical scores.
手术治疗扁平足畸形对患者生活质量和健康状况的真正影响仍未明确界定。本研究的目的是评估扁平足畸形手术矫正后年轻成年人的生活质量以及恢复日常任务和运动或体育活动的情况。对接受双侧症状性扁平足畸形治疗的患者进行了回顾性研究。健康对照组由从医院社区自愿招募的无足部手术或创伤史的匹配参考人群组成。所有受试者都被要求填写以健康相关生活质量评估（简明健康调查问卷；SF-36）和身体活动（国际身体活动问卷；IPAQ）为中心的问卷。与对照组相比，大多数研究组的SF-36子量表得分较低。在研究组中，术后，36.6%的患者设法恢复了低水平的体育活动，40%的患者活动量充足，能够进行中等强度的体育活动（一种需要适度体力消耗且使患者呼吸频率仅略高于正常的活动），而其中23.3%的患者活动量活跃或非常活跃，能够进行剧烈的体育活动。大多数IPAQ得分与对照组在统计学上存在差异。本研究表明，与健康受试者相比，接受内侧移位跟骨截骨术和舟楔关节融合术治疗症状性扁平足的患者生活质量和身体活动水平较低。手术后，患者的临床评分有显著改善。
