Pediatric Orthopedics, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo"-Trieste, Italy.
University of Trieste, Trieste, Italy.
PLoS One. 2023 Feb 2;18(2):e0263763. doi: 10.1371/journal.pone.0263763. eCollection 2023.
This study aimed to evaluate the quality of life and satisfaction about the surgical treatment in patients with symptomatic flexible flatfoot.
The Oxford Ankle Foot Questionnaire for children (one to fill in before the surgical correction and another 6-12 months after the screw's removal), the PedsQLTM Healthcare Satisfaction Generic Module and the PedsQLTM General Well-Being Scale were administered to all patients who underwent the anterograde calcaneo-stop procedure for flexible painful flatfoot between January 2012 and December 2015.
One hundred forty patients were sent the questionnaires and 74 (40 male and 34 female) of them responded. The surgical correction was performed at a medium age of 11,84±1,65 years. When the Oxford Ankle Foot Questionnaire for children scores before surgical correction and after the screw removal were compared, the latter scored significantly higher for all domains. Healthcare satisfaction was good in all families. Most of the patients scored medium-high on the PedQLTM General Well-Being both when asked about themselves (mean 86,50±7,44) and in general about their health (76,06±12,32).
Our results confirmed that flexible painful flatfoot is significantly affecting the quality of life of children and that the anterograde calcaneo-stop procedure is a valuable technique, which improves their quality of life and the family wellbeing.
本研究旨在评估有症状性柔韧性平足症患者手术治疗的生活质量和满意度。
2012 年 1 月至 2015 年 12 月期间，对接受顺行跟骨截骨术治疗柔韧性疼痛性平足症的所有患者，采用儿童牛津踝关节-足部问卷（在手术矫正前填写一份，在螺钉取出后 6-12 个月填写另一份）、儿科生活质量量表（健康照顾满意度通用模块）和儿科生活质量量表（总体健康状况量表）进行评估。
共向 140 名患者发送了调查问卷，其中 74 名（40 名男性，34 名女性）做出了回应。手术矫正的平均年龄为 11.84±1.65 岁。当比较儿童牛津踝关节-足部问卷在手术矫正前和螺钉取出后的评分时，后者在所有领域的评分显著更高。所有家庭的医疗保健满意度均良好。大多数患者在自我评估（平均 86.50±7.44）和总体健康评估（76.06±12.32）时，对 PedQLTM 总体健康状况的评分均为中高水平。
我们的结果证实，柔韧性疼痛性平足症显著影响儿童的生活质量，顺行跟骨截骨术是一种有价值的技术，可改善他们的生活质量和家庭幸福感。
