跟骨延长截骨术治疗儿童特发性扁平足：21例足部病例系列
Calcaneal lengthening osteotomy in the management of idiopathic flatfoot in children: cCase series of twenty-one feet.
作者信息
Zairi Mohamed, Msakni Ahmed, Mohseni Ahmed Amin, Othmen Ameur, Mensia Kacem, Saied Walid, Bouchoucha Sami, Boussetta Rim, Nessib Mohamed Nabil
机构信息
Faculty of Medicine of Tunis, Department of Pediatric Orthopedic Surgery, Bechir Hamza Children's Hospital, Tunis, Tunisia.
Faculty of Medicine of Tunis, Department of Pediatric Orthopedic Surgery, Bechir Hamza Children's Hospital, Tunis, Tunisia.
出版信息
Int J Surg Case Rep. 2022 Oct;99:107634. doi: 10.1016/j.ijscr.2022.107634. Epub 2022 Sep 9.
INTRODUCTION
Flatfoot is a frequent reason for consultation in pediatric orthopedics. The calcaneal lengthening osteotomy according to the EVANS technique is a therapeutic alternative. The objective of this work was to evaluate the short and medium term clinical and radiological results of calcaneal lengthening osteotomy in children with idiopathic flat foot valgus.
METHODS
This study concerned 12 children and 15 ft treated surgically by calcaneal lengthening osteotomy by an orthopedic surgeon in a pediatric orthopedic surgery center. The evaluation of the results was clinical according AOFAS score and radiological.
RESULTS
The deformity was reducible in all of our patients. The mean preoperative AOFAS score was 61, postoperatively 90. The overall result was excellent in 11 cases (11 ft) and good in 4 cases. The postoperative radiological result was close to normal values.
CONCLUSION
Calcaneal lengthening osteotomy is a reliable and recommended technique for the correction of symptomatic idiopathic flatfoot.
LEVEL OF EVIDENCE
IV, Case series.
引言
扁平足是小儿骨科门诊常见的就诊原因。根据伊文斯（EVANS）技术进行的跟骨延长截骨术是一种治疗选择。本研究的目的是评估对患有特发性扁平足外翻儿童进行跟骨延长截骨术的短期和中期临床及影像学结果。
方法
本研究涉及12名儿童及15只脚，由一名小儿骨科手术中心的骨科医生通过跟骨延长截骨术进行手术治疗。根据美国足与踝关节协会（AOFAS）评分对结果进行临床评估，并进行影像学评估。
结果
所有患者的畸形均可矫正。术前AOFAS评分平均为61分，术后为90分。11例（11只脚）的总体结果为优，4例为良。术后影像学结果接近正常值。
结论
跟骨延长截骨术是矫正有症状的特发性扁平足的一种可靠且推荐的技术。
证据级别
IV，病例系列。
Zotero 插件