摘要
目的:探讨跗骨窦螺钉联合软组织手术治疗儿童柔韧性平足症的临床疗效。方法:回顾性分析12名(共21足)用跗骨窦螺钉HyProcure联合软组织手术治疗的平足症患儿临床资料,比较手术前后患儿VAS评分、AOFAS评分以及足负重正位X线片测得的距骨第一跖骨角、距舟覆盖角,负重侧位距骨第一跖骨角等角度变化。结果:12名患儿皆获得随访,随访(22.25±3.79)个月(18~30个月)。术后随访中患儿VAS评分、AOFAS评分以及足负重正位X线片测得的距骨第一跖骨角、距舟覆盖角,负重侧位距骨第一跖骨角皆较术前改善,差异有统计学意义(P<0.01)。2例(2足)患儿跗骨窦疼痛明显,其中1例要求取出内固定。结论:跗骨窦螺钉联合软组织手术治疗儿童柔韧性平足症临床疗效良好,可达到改善患儿足部畸形、缓解疼痛的目的。
Objective:To investigate the clinical value of tarsal sinus screw combined with soft tissue procedures in treating flexible flatfoot in children.Methods:The clinical data of 12 children(21 feet)treated with HyProcure combined with soft tissue procedures were retrospectively analyzed.The VAS scores,AOFAS scores,first talar-to-first metatarsal angle,talonavicular coverage angle,and first Meary angle of talus on the side of weight-bearing were compared before and after operation.Results:All 12 children were followed up for(22.25±3.79)months(18 to 30 months).The VAS scores,AOFAS scores,talar-to-first metatarsal angle,talonavicular coverage angle and Meary angle were all had statistical significant improvements compared with the preoperative values(P<0.01).2 cases(2 feet)had significant pain in the tarsal sinus,1 of which required removal of the internal fixation.Conclusion:Tarsal sinus screw combined with soft tissue procedures is clinically effective on the treatment of children with flexible flatfoot,which can improve the foot deformity of children and relieve pain.
作者
黄立本
林小永
叶琳
李绪松
HUANG Liben;LIN Xiaoyong;YE Lin;LI Xusong(Graduate School of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China;Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528401,Guangdong China)
出处
《中国中医骨伤科杂志》
CAS
2022年第7期70-74,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
跗骨窦螺钉
距下关节制动术
软组织手术
平足症
hyprocure
subtalar stabilization
soft tissue procedures
flexible flatfoot
