Liu Hang,Li Ming,Liu Xing,et al.Evaluations of plantar mechanics after mini-invasive soft tissue release of idiopathic clubfoot[J].Journal of Clinical Pediatric Surgery,,19():775-778.[doi:10.3969/j.issn.1671-6353.2020.09.003]
Evaluations of plantar mechanics after mini-invasive soft tissue release of idiopathic clubfoot
- Keywords:
- Equinus Deformity/SU; Surgical Procedures; Minimally Invasive; Treatment Outcome; Mechanics
- CLC:
- R726.8;R681.8;R682.1+6
- Abstract:
- Objective To evaluate the short-term efficacies of mini-invasive multiplanar soft tissue release for Dimeglio grade Ⅳ idiopathic clubfoot by plantar scan and static plantar pressure. Methods From January 2016 to June 2018,17 cases (25 feet) of Dimeglio grade IV idiopathic clubfeet underwent mini-invasive multiplanar soft tissue releasing.There were 12 boys (18 feet) and 5 girls (7 feet).The operative age range was from 53 to 201 days and the evaluation age 29 to 35 months.The recovery status of clubfeet was evaluated by Dimeglio score,radiography,plantar scan and static plantar pressure analysis. Results Dimeglio scores were 0-2 points after serial casting and mini-invasive multiplanar soft tissue releasing and the appearance of affected feet was satisfactory.Radiography indicated that preoperative and postoperative anteroposterior talocalcaneal angle was 14.90±3.20°,33.51±7.52°respectively and lateral talocalcaneal angle 22.65±6.10°,33.08±4.12°.The differences were statistically significant (P<0.05).The arch indices were 0.35±0.02 and 0.35±0.01.There was no significant inter-group difference (P>0.05).The bimalleolar angles were 82.03±6.20° and 85.27±3.49°.There was no significant difference (P>0.05).The distribution percentage of pressures in bilateral talipes equinovarus was[(52.75±2.32)%:(47.25±2.32)%,P<0.05]and that of unilateral talipes equinovarus[(60.33±4.54)%:(39.70±4.55)%,P<0.05]. Conclusion Mini-invasive multiplanar soft tissue release is efficacious for idiopathic clubfoot of Dimeglio grade Ⅳ.The outcomes of plantar mechanic evaluations may be used as an important reference for targeted maintenance therapeutics of clubfoot.
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Memo
收稿日期:2020-04-18。
基金项目:国家临床重点专科建设项目（编号：国卫办医函[2013]544）
通讯作者:李明,Email:LM3180@163.com