先天性马蹄内翻足的足部畸形僵硬。足部僵硬指数
- 作者: Vlasov M.V.1
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隶属关系:
- Privolzhsky Research Medical University
- 期: 卷 14, 编号 2 (2024)
- 页面: 173-182
- 栏目: Original Study Articles
- URL: https://journal-vniispk.ru/2219-4061/article/view/263093
- DOI: https://doi.org/10.17816/psaic1797
- ID: 263093
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详细
现实意义。迄今为止,世界上还没有一个统一的系统来评估新生儿和幼儿先天性马蹄内翻足的严重程度。目前还没有客观考虑足部畸形的僵硬程度和组织对矫正力的“柔韧”程度的分类方法。然而,足部畸形的“僵硬度”一词通常用于主观评估足部畸形的严重程度,其含义是指在手动矫正畸形元素时足部组织的“阻力”程度。同时,足部僵硬程度没有客观的量化评估。
本研究旨在引入一种新的临床体征——“足部畸形僵硬度”,从而使客观评估先天性马蹄内翻足部畸形的严重程度成为可能。
材料与方法。在使用第一个石膏绷带之前,对229名儿童的350只脚进行了临床和动力检查,然后用数学方法计算了脚的僵硬指数。统计分析采用非参数Manna WhitneyU标准和Spearman等级相关系数。 当p < 0.05时,差异被认为是可靠的。
结果。在比较I-IV度先天性马蹄内翻足之间的所有临床和动力参数时,获得了具有统计学意义的差异(p ≤ 0.05)。无论严重程度如何,先天性马蹄内翻足患者都有一个普遍的趋势:畸形程度越高,矫正所需的努力越大,单阶段矫正角度越小,足部僵硬指数越高。对Ⅰ-Ⅱ度先天性马蹄内翻足患儿的临床和动力检查参数进行斯皮尔曼相关性分析的结果表明,足部畸形具有活动性,Ⅲ度为僵硬型畸形,Ⅳ度为极度僵硬型畸形。
结论。足部畸形的僵硬度是一个相当重要的临床表现,它是足部畸形严重程度的特征。这一体征有一个定量特征--僵硬指数。在开始治疗前确定僵硬程度具有重要的实际意义。根据足部僵硬度的初步数据,我们可以客观地评估畸形的严重程度,并在按照Ponseti方法进行阶段性石膏固定时, 选择个性化的方法来消除畸形。
作者简介
Maksim V. Vlasov
Privolzhsky Research Medical University
编辑信件的主要联系方式.
Email: footdoc@mail.ru
ORCID iD: 0009-0009-4381-8340
SPIN 代码: 2721-5113
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Nizhny Novgorod参考
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