巴楚医学2025，Vol.8Issue(1)：59-64,6.DOI:10.3969/j.issn.2096-6113.2025.01.011
距下关节制动术在青少年扁平足患者中的临床疗效分析
Clinical Efficacy of Subtalar Joint Immobilization in Adolescent Patients with Flat Foot
摘要
Abstract
Objective:To explore the clinical effect of subtalar joint immobilization in adolescent patients with flat foot.Methods:A total of 69 patients(84 flatfeet in total)who presented at Yichang Central People's Hospital from January 2015 to January 2023 were enrolled.Based on different treatment modalities,they were categorized into an observation group(n=42),which underwent subtalar arthroereisis,and a control group(n=27)that received conventional treatment.The clinical outcomes of the two groups were then compared.Results:Eighteen months after the surgery,in comparison with the control group,the lateral talus first metatarsal angle(Meary angle),calcaneus talus angle(Kite angle),talus first metatarsal angle(T1MT),talus second metatarsal angle(T2MT),talus-navicular coverage angle(TNCA),and visual Analogue Scale score[(1.79±0.94)vs(2.41±1.47)]in the observation group were all notably reduced.Meanwhile,the calcaneal inclination angle(Pitch angle)and the American Orthopaedic Foot and Ankle Society ankle-hindfoot score were significantly elevated[(84.67±9.00)vs(80.12±7.53)](all P＜0.05).Conclusion:The combination of subtalar arthroereisis and surgery can more effectively rectify the deformity of the subtalar joint across multiple planes and restore the hindfoot alignment.It represents a straightforward and efficacious approach for treating flexible flatfoot in adolescents,with remarkable clinical benefits.关键词
距下关节制动术/青少年/扁平足Key words
subtalar joint immobilization/adolescents/flat foot分类
医药卫生引用本文复制引用
杨华瑞,郭辉福,杨宜,张恒,鲍同柱,寿康全..距下关节制动术在青少年扁平足患者中的临床疗效分析[J].巴楚医学,2025,8(1):59-64,6.基金项目
湖北省自然科学基金项目(2021CFB488) （2021CFB488）
宜昌市医疗卫生研究项目(A24-2-007) （A24-2-007）
