https://scholars.lib.ntu.edu.tw/handle/123456789/592254
標題: | Preliminary results of subtalar arthroereisis with vulpius procedure for symptomatic flatfoot in patients with type I osteogenesis imperfecta | 作者: | Hsu, Cheng-Min Lin, Sheng-Chieh KUAN-WEN WU TING-MING WANG Chang, Jia-Feng CHIA-CHE LEE |
關鍵字: | Gastrocnemius recession;Osteogenesis imperfecta;Pes planovalgus;Subtalar arthroereisis;Symptomatic flatfoot | 公開日期: | 1-一月-2021 | 出版社: | MDPI AG | 卷: | 18 | 期: | 1 | 起(迄)頁: | 1 | 來源出版物: | International Journal of Environmental Research and Public Health | 摘要: | In this retrospective study, we aim to assess the safety and feasibility of adapting subtalar arthroereisis (SA) for type I osteogenesis imperfecta (OI) patients with symptomatic flatfoot. From December 2013 to January 2018, six type I OI patients (five girls and one boy, 12 feet) with symptomatic flexible flatfoot were treated with SA and the Vulpius procedure. All the patients were ambulatory and skeletally immature with failed conservative treatment and unsatisfactory life quality. The median age at the time of surgery was 10 years (range 5–11), and the median follow-up period was 55 months (range 33–83). All functional and radiographic parameters improved (p < 0.05) after the procedure at the latest follow-up. The median American Orthopaedic Foot and Ankle Society ankle-hindfoot scale improved from 68 (range 38–80) to 95 (range 71–97). All of the patients ambulated well without significant complications. The weight-bearing radiographs showed maintained correction of the tarsal bone alignment with intact bony surfaces adjacent to implants during the post-operative follow-up period. This is the very first study on symptomatic flatfoot in pediatric patients with type I OI. Our data suggest that SA is a potentially viable approach, as functional improvements and maintained radiographic correction without significant complication were observed. © 2020 by the authors. Licensee MDPI, Basel, Switzerland. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85098626194&doi=10.3390%2fijerph18010067&partnerID=40&md5=02f470faaf3981793975a6fb3456301c https://scholars.lib.ntu.edu.tw/handle/123456789/592254 |
ISSN: | 1661-7827 | DOI: | 10.3390/ijerph18010067 |
顯示於: | 醫學系 |
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