Department of Clinical Sciences Lund - Orthopedics, Lund University, Lund, Sweden.
Department of Clinical Sciences Malmö - Orthopedics, Lund University, Lund, Sweden; Department of Surgical sciences - Uppsala University, Uppsala, Sweden.
Foot Ankle Surg. 2023 Jun;29(4):367-372. doi: 10.1016/j.fas.2023.03.003. Epub 2023 Mar 15.
Population-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.
We analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014-2021.
625 feet with primary AAFD surgery were registered. Median age was 60 (range 16-83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional variations. Spring ligament reconstruction was less common. In stage IIb (n = 225), 52% had lateral column lengthening, and in stage III (n = 66), 83% had hind-foot arthrodesis.
Patients with AAFD have low health-related quality of life before surgery. Treatment in Sweden follows best-available evidence but regional variations exist.
III.
缺乏描述成人获得性扁平足畸形（AAFD）手术治疗中患者特征和干预措施的人群水平数据。
我们分析了 2014 年至 2021 年向瑞典足踝外科质量登记处（Swefoot）报告的 AAFD 患者的基线患者报告数据，包括 PROMs 和手术干预措施。
登记了 625 例原发性 AAFD 手术的足部。中位年龄为 60 岁（范围 16-83 岁），64%为女性。术前 EQ-5D 指数和自我报告足部和踝关节评分（SEFAS）平均值较低。在 IIa 期（n=319）中，78%的患者接受了内侧移位跟骨截骨术，59%的患者接受了趾长屈肌转移术，存在一些区域性差异。距下关节韧带重建术不太常见。在 IIb 期（n=225）中，52%的患者进行了外侧柱延长术，在 III 期（n=66）中，83%的患者进行了距下关节融合术。
AAFD 患者在手术前的健康相关生活质量较低。瑞典的治疗方法遵循最佳可用证据，但存在区域性差异。
III 级。
