[1]黄立本 林小永 叶琳 李绪松△.跗骨窦螺钉联合软组织手术治疗儿童柔韧性平足症12例[J].中国中医骨伤科杂志,2022,30(07):70-74.
　HUANG Liben LIN Xiaoyong YE Lin LI Xusong.Clinical Efficacy of Tarsal Sinus Screw Combined with Soft Tissue Procedures in Treatment of Flexible Flatfoot in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(07):70-74.
点击复制

跗骨窦螺钉联合软组织手术治疗儿童柔韧性平足症12例()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年07期
页码:
70-74
栏目:
临床报道
出版日期:
2022-07-15

文章信息/Info

Title:
Clinical Efficacy of Tarsal Sinus Screw Combined with Soft Tissue Procedures in Treatment of Flexible Flatfoot in Children
文章编号:
1005-0205(2022)07-0070-05
作者:
黄立本1 林小永2 叶琳1 李绪松2△
1广州中医药大学研究生院(广州,510006)2广州中医药大学附属中山中医院(中山市中医院)
Author(s):
HUANG Liben1 LIN Xiaoyong2 YE Lin1 LI Xusong2△
1Graduate School of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China; 2Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528401,Guangdong China.
关键词:
跗骨窦螺钉;  距下关节制动术;  软组织手术;  平足症
Keywords:
hyprocure;  subtalar stabilization;  soft tissue procedures;  flexible flatfoot
分类号:
R681.8
文献标志码:
B
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。
Abstract:
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.

参考文献/References:

[1] FERNNDEZ DE RETANA P,LVAREZ F,VILADOT R.Subtalar arthroereisis in pediatric flatfoot reconstruction[J].Foot and Ankle Clinics of North America,2010,15(2):323-335.
[2] LI B,HE W,YU G,et al.Treatment for flexible flatfoot in children with subtalar arthroereisis and soft tissue procedures[J].Frontiers in Pediatrics,2021,9:656178.
[3] IRGIT K S,KATSAROV A Z.Flexible progressive collapsing foot deformity:is there any role for arthroereisis in the adult patient?[J].Foot and Ankle Linics,2021,26(3):539-558.
[4] GRAHAM M E,PARIKH R,GOEL V,et al.Stabilization of joint forces of the subtalar complex via HyProCure sinus tarsi stent[J].Journal of the American Podiatric Medical Association,2011,101(5):390-399.
[5] CHRISTENSEN J C,CAMPBELL N,DINUCCI K.Closed kinetic chain tarsal mechanics of subtalar joint arthroereisis[J].Journal of the American Podiatric Medical Association,1996,86(10):467-473.
[6] SARRAFIAN S K.Biomechanics of the subtalar joint complex[J].Clin Orthop Relat Res,1993,290:17-26.
[7] KELLERMANN P,ROTH S,GION K,et al.Calcaneo-stop procedure for paediatric flexible flatfoot[J].Archives of Orthopaedic and Trauma Surgery,2011,131(10):1363-1367.
[8] 赵炼,刘韶,徐军奎,等.跟骨截骨结合内侧软组织重建治疗儿童柔韧性平足症的研究[J].中华骨与关节外科杂志,2018,11(6):432-437.
[9] 杨宗宇,刘非,崔亮,等.外侧柱延长术联合趾长屈肌腱转位术治疗可复性平足32例[J].中国中医骨伤科杂志,2018,26(3):41-45.
[10] MORALEDA L,SALCEDO M,BASTROM T P,et al.Comparison of the calcaneo-cuboid-cuneiform osteotomies and the calcaneal lengthening osteotomy in the surgical treatment of symptomatic flexible flatfoot[J].Journal of Pediatric Orthopedics,2012,32(8):821-829.
[11] CHONG D Y,MACWILLIAMS B A,HENNESSEY T A,et al.Prospective comparison of subtalar arthroereisis with lateral column lengthening for painful flatfeet[J].Journal of Pediatric Orthopedics:Part B,2015,24(4):345-353.
[12] 李兵,俞光荣,杨云峰,等.距下关节制动联合软组织手术治疗大龄儿童柔性平足症[J].中华小儿外科杂志,2020,41(4):356-360.
[13] 许鉴,彭亮权,陆伟,等.不同类型距下关节制动器治疗Ⅱa期成人获得性平足的生物力学比较[J].中国骨科临床与基础研究杂志,2019,11(1):30-37.
[14] DIGIOVANNI C W,KUO R,TEJWANI N,et al.Isolated gastrocnemius tightness[J].The Journal of Bone and Joint Surgery:American Volume,2002,84-A(6):962-970.
[15] DIGIOVANNI C W,LANGER P.The role of isolated gastrocnemius and combined achilles contractures in the flatfoot[J].Foot and Ankle Clinics of North America,2007,12(2):363-379.
[16] 吴刚,陈建文,王世隆,等.单纯HyProCure跗骨螺钉治疗青少年柔韧性平足合并痛性副舟骨[J].中国组织工程研究,2021,25(6):901-905.
[17] UGOLINI P A,RAIKIN S M.The accessory navicular[J].Foot and Ankle Clinics of North America,2004,9(1):165-180.
[18] 郑伟鑫,梁晓军.痛性足副舟骨的临床研究进展[J].中华骨与关节外科杂志,2020,13(6):524-528.
[19] SAXENA A,VIA A G,MAFFULLI N,et al.Subtalar arthroereisis implant removal in adults:a prospective study of 100 patients[J].The Journal of Foot and Ankle Surgery,2016,55(3):500-503.

备注/Memo

备注/Memo:
△通信作者 E-mail:xusongli@163.com
更新日期/Last Update: 1900-01-01