Giannini prosthesis for flatfoot
Giannini prosthesis for flatfoot
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DOI：
10.1177/107110070502601104
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发表时间：
2005-11-01
影响因子：
2.7
通讯作者：
Lara, MH
中科院分区：
文献类型：
--
作者：
Gutiérrez, PR;Lara, MH
背景：为了确定使用Giannini植入物进行关节融合术治疗儿童扁平足畸形的临床和放射学结果，我们回顾评估了37例患者(65足)。方法：男22例，女15例，平均随访26.5个月。他们的总体平均年龄为9.4岁(5-14岁)。评估疼痛、功能、参加体育活动的情况，以及在3、6、12个月和之后每隔1年进行的放射学测量的变化。结果：疼痛或不适感由术前的60%(22例)降至术后的6%(2例)。术后正常足印的百分比为59%(38足)，其中27足(41%)为一度扁平足。术后参加体育活动19例(51%)。43只脚(66%)使用了8 mm内矫形植入物，38只脚(59%)进行了跟腱切开术。与术前相比，矫正程度最大的X线片角度是距骨第一跟骨角(99%)和跟骨距(36%)。在放置内矫形种植体后，距骨角影响了其余的X线片测量。在监测期间测量的任何X线片角度在术后都没有恶化。并发症发生率为10.7%，其中术后疼痛发生率最高(6%)。对异物无感染或局部反应。内矫形植入物的取出不是按常规进行的。结论：该术式尊重足部解剖结构，具有良好的临床和影像效果。
Background: To determine the clinical and radiographic results of arthroereisis using the Giannini endo-orthotic implant for the treatment of pediatric flatfoot deformity, we retrospectively evaluated 37 patients (65 feet). Methods: Twenty-two boys and 15 girls were followed for an average of 26.5 months. Their overall average age was 9.4 (range 5 to 14) years. Pain, function, participation in sports activity, and the changes in radiographic measurements taken at 3, 6, and 12 months and then at 1year intervals were evaluated. Results: Pain or discomfort decreased from 60% (22 patients) preoperatively to 6% (2 patients) postoperatively. The percentage of normal postoperative footprints was 59% (38 feet) with firstdegree flatfoot present in 27 feet (41%). Sports activities were taken up by 19 patients (51%) after surgery. An 8-mm endo-orthotic implant was used in 43 (66%) feet and an Achilles tenotomy was done in 38 feet (59%). The radiographic angles with the greatest degree of correction when compared to preoperative angles were the talar-first metatarsal angle (99%) and the calcanealpitch (36%). After placement of the endo-orthotic implant, the talar angle influenced the rest of the radiographic measurements. There was no postoperative deterioration in any of the radiographic angles measured during the monitoring period. Complications occurred in 10.7% of the patients, with postoperative pain being the most frequently reported (6% of patients). There was no infection or local reaction to a foreign body. Removal of the endo-orthotic implant was not done on a routine basis. Conclusion: This operative technique respects the anatomical structure of the foot and produces good clinical and radiographic results.