Cohen Jose Carlos, Rodrigues Natália Coelho, Cabral Elifaz de Freitas, de Miranda Silvana Teixeira, da Cunha Antonio José Ledo Alves, Gomes Maria Katia
Universidade Federal do Rio de Janeiro, Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, RJ, Brazil.
Hospital Santa Marcelina, Porto Velho, RO, Brazil.
Acta Ortop Bras. 2022 May 23;30(3):e244354. doi: 10.1590/1413-785220223003e244354. eCollection 2022.
To evaluate the functional results of surgically correcting drop foot in patients with leprosy and compare their SALSA, Social Participation, and AOFAS score.
Overall, 22 patients were subjected to posterior tibial tendon transfer via the subcutaneous route to the foot dorsum with an average follow-up of 56 months (min 12, max 70). In our sample, 15 of the enrolled patients were men and seven, women, aged between 20 and 73 years old who were operated on from January 2014 to December 2017. The Pearson's correlation test (r) was used to measure the correlation among those scales. A p < 0.05 was considered significant between the pre- and pos-operative AOFAS scale scores.
Pre-operative average AOFAS score was 59.6 (min 35, max 74) and 77.2 postoperative (min 36, max 97) (p < 0.0001), postoperative Salsa and Social Participation scale, 30.6 and 22.5, respectively. Statistical analysis suggests a strong positive correlation between AOFAS and Salsa scales (r = -0.83) and AOFAS and social participation (r = -0.78). Average dorsiflexion was 5.4 degrees.
The surgical correction of drop foot positively affects the quality of life and social participation of patients with leprosy.
评估手术矫正麻风病患者足下垂的功能结果，并比较他们的SALSA评分、社会参与度评分和美国足踝外科协会（AOFAS）评分。
总共22例患者接受了经皮下途径将胫后肌腱转移至足背的手术，平均随访56个月（最短12个月，最长70个月）。在我们的样本中，登记的患者有15名男性和7名女性，年龄在20至73岁之间，于2014年1月至2017年12月接受手术。采用Pearson相关检验（r）来测量这些量表之间的相关性。术前和术后AOFAS量表评分之间p < 0.05被认为具有显著性差异。
术前AOFAS平均评分为59.6（最低35分，最高74分），术后为77.2（最低36分，最高97分）（p < 0.0001），术后Salsa量表评分为30.6，社会参与度量表评分为22.5。统计分析表明，AOFAS量表与Salsa量表之间存在强正相关（r = -0.83），AOFAS量表与社会参与度之间存在强正相关（r = -0.78）。平均背屈角度为5.4度。
手术矫正足下垂对麻风病患者的生活质量和社会参与度有积极影响。
