https://scholars.lib.ntu.edu.tw/handle/123456789/592258
標題: | Body weight effects on extra-osseous subtalar arthroereisis | 作者: | Hsieh, Chiun-Hua CHIA-CHE LEE TZU-HAO TSENG KUAN-WEN WU Chang, Jia-Feng TING-MING WANG |
關鍵字: | Body mass index;Extra-osseous subtalar arthroereisis;Implant extrusion;Pediatric flexible flatfoot | 公開日期: | 九月-2019 | 出版社: | MDPI | 卷: | 8 | 期: | 9 | 來源出版物: | Journal of Clinical Medicine | 摘要: | Implant extrusion in subtalar arthroereisis is a common complication for pediatric flexible flatfoot. However, there were a limited number of articles addressing the body weight effects on implant extrusion after the procedure. We conducted a 24-month follow-up assessment after subtalar arthroereisis. Surgical patients who underwent the Vulpius procedure were retrospectively collected from May 2010 to January 2017, including 59 cases of both feet having implants in situ and 43 cases of both feet having implant extrusion. The average age of 102 patients was 9 years old. The mean body mass index (BMI) of the implant in situ group was 19.5, whilst the extrusion group was 21.2 (p = 0.035). The inter-observer correlation was excellent. There were 11 cases (39.3%) of bilateral extrusion in the overweight group (BMI > 24) and 13 cases (23.2%) in the low body weight group (BMI > 18.5) (p < 0.0004). Postoperative radiographic angles were corrected in both the implant in situ group and the extrusion group. Nonetheless, the implant in situ group revealed better postoperative outcomes of Meary’s angle and the talonavicular angle from an anterior-posterior view, and the talar inclination angle from a lateral view. We conclude that a higher BMI is related to implant extrusion and worse results after subtalar arthroereisis. Further prospective study to investigate whether preoperative weight loss results in improved surgical outcomes is warranted in the future. © 2019 by the authors. Licensee MDPI, Basel, Switzerland. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083167202&doi=10.3390%2fjcm8091273&partnerID=40&md5=0c234b87ff82253dd993094da2484495 https://scholars.lib.ntu.edu.tw/handle/123456789/592258 |
ISSN: | 2077-0383 | DOI: | 10.3390/jcm8091273 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。