截骨矫形术与距下关节制动术治疗儿童柔韧性平足症的比较研究

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Abstract

Objective To explore and compare the clinical efficacy and surgical safety of osteotomy and subtalar arthroplasty in the treatment of childhood flexible flatfoot.
Methods A retrospective analysis was conducted on the clinical data of 41(61 feet) children with flexible flatfoot who underwent either osteotomy or subtalar arthroereisis at the Department of Foot and Ankle Surgery，in The Affiliated Honghui Hospital of Xi’an Jiaotong University from February 2014 to September 2020.The osteotomy group consisted of 21 cases(31 feet)，including 11 males and 10 females，with 11 cases of unilateral and 10 cases of bilateral involvement，15 cases of left foot and 16 cases of right foot.The average age of patients was(12.87±1.12) years.The subtalar arthroereisis group consisted of 20 cases(30 feet)，including 12 males and 8 females，with 10 cases of unilateral and 10 cases of bilateral involvement，17 cases of left foot and 13 cases of right foot.The average age of patients was(11.56±1.73) years.Anteroposterior，lateral，and hindfoot alignment radiological images were measured in the Xray weight-bearing position，including anteroposterior view upper talar 1st metatarsal angle (T1MT) and talonavicular coverage angle (TNCA)，lateral view upper talus-first metatarsal angle (Meary’s angle)，calcaneal pitch angle(CPA).Calcaneus valgus angle (CVA) at Saltzman position on the hindfoot line.Clinical assessment was performed using the visual analogue scale (VAS) and the American orthopaedic foot and ankle society (AOFAS) ankleposterior foot function score.The clinical efficacy of these two kinds of surgery in the treatment of children’s flexible flat foot was compared and analyzed.Results All the 41 patients were effectively followed up for 12~24 months，with an average of(18.1±7.3) months.The improvement amplitude of calcaneal inclination angle and calcaneal eversion angle in osteotomy and orthopaedic group was significantly different from that in subtalar joint braking group(P＜0.05)，but no significant difference was found in other indexes(P＞0.05).Conclusion Osteotomy and subtalar arthroplasty are effective in the treatment of flexible flat feet in children.

Key words： children painful flexible flatfoot osteotomy talotarsal stabilization

Corresponding Authors: Li Yi

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	Wang Xuan
	Shi Chao
	Zeng Qiu
	Li Mingxiu
	Zhang Yunheng
	Chang Xin
	Nie Guanghua
	Li Yi

Cite this article:

Wang Xuan,Shi Chao,Zeng Qiu, et al. A Comparison Study on the Effectiveness of Osteotomy and Talotarsal Stabilization in the Treatment of Children’s Flexible Flatfoot[J]. sygkzz, 2023, 29(7): 592-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I7/592

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