Predicting the need for tenotorny in the Ponseti method for correction of clubfeet
Predicting the need for tenotorny in the Ponseti method for correction of clubfeet
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DOI：
10.1097/01241398-200407000-00001
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发表时间：
2004-07-01
影响因子：
1.7
通讯作者：
Lehman, WB
中科院分区：
文献类型：
--
作者：
Scher, DM;Feldman, DS;Lehman, WB
本研究的目的是确定如何预测在Ponseti治疗开始时是否需要肌腱切断术。根据Pirani和Dimeglio评分系统对50例马蹄内翻足（35例患者）进行前瞻性评分。50只足中有36只（72%）进行了肌腱切断术。那些接受肌腱切开术需要显着更多的石膏（P = 0.005）。初始Piram评分≥ 5.0的27只足中，85.2%需要肌腱切断术，1.4.8%不需要; Dimeglio IV级足中94.7%需要肌腱切断术。在移除最后一个石膏后，进行和未进行肌腱切断术的患者之间没有显著差异。Piram系统初始评分大于或等于5.0或Dimeglio系统评定为IV级的畸形足儿童很可能需要肌腱切断术。在铸造结束时，无论是否需要肌腱切断术，脚都同样得到了很好的矫正。
The purpose of this study was to determine how to predict the need for tenotomy at the initiation of the Ponseti treatment. Fifty clubfeet (35 patients) were prospectively rated according to Pirani and Dimeglio scoring systems. Tenotomies were performed in 36 of 50 feet (72%). Those that underwent tenotomy required significantly more casts (P = 0.005). Of 27 feet with initial Piram scores greater than or equal to5.0, 85.2% required a tenotomy and 1.4.8% did not; 94.7% of the Dimeglio Grade IV feet required tenotomies. Following removal of the last cast, there was no significant difference between those that did and did not have a tenotomy. Children with clubfeet who have an initial score of greater than or equal to5.0 by the Piram system or are rated as Grade IV feet by the Dimeglio system are very likely to need a tenotomy. At the end of casting, feet were equally well corrected whether or not they needed a tenotomy.