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首页> 外文期刊>Eastern Journal of Medicine >Family factor, treatment options and evaluation of results in pes equinovarus disease
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Family factor, treatment options and evaluation of results in pes equinovarus disease

机译：pes Equinovarus疾病的家庭因素，治疗选择和结果评估

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Family factor, treatment options and evaluation of results in pes equinovarus disease Abdurrahim Gozen 1 , Mehmet Ata Gokalp 1 , Seyyid ?erif Unsal 1 , Savas Guner 1 In this study, we analyzed the patients who had applied to Yüzüncü Y?l University Medical Faculty due to pes equinovarus between 2011 and 2013 and treated with the Ponseti method. Thus we evaluated 56 feet of 38 patients in the early-treatment period and the factors affecting the treatment. All of the patients were systematically examined before and after the treatment. For the feet that had anomaly we used the scale that was used by Dimeglo et.al. Averagely 7.5 plaster casts were applied to the feet of the patients (range: 3-16). In patients with PEV, after the recovery of hindfoot varus and forefoot adduction in 48 feet in which equine deformity, achillotomy operation was applied under local anesthesia with mini open technique. After plastering, Steenbeek orthosis was applied to the feet. Average follow-up time was 14 months (range 5-28 months). In patients with PEV, the most commonly recurred component was metatarsus adductus. While this rate was 36% in idiopathic PEVs, in complex PEVs it was 83%. The plantigrade walking ratio in patients with idiopathic PEV was 92%. In patients with idiopathic PEV, the compliance with orthosis was 81% whereas in patients with complex PEV it was 33%. In addition to this, except one patient, in all patients with complex PEV recurrence was observed and additional treatments were made for these patients. The final Dimeglio score of the patients with idiopathic PEV was very good in 16 feet, good in 6 feet. On the other hand, in patients with complex PEV, this score was very good in 4 feet, good in 3 feet, and bad in 1 foot. The most important recurrence reason for PEV was non-compliance with orthosis. The reasons for non-compliance with foot abduction orthosis are as follows: long processing time the negative psychological effects of orthosis on families and considering orthosis as unnecessary since the correction in the feet was seen by the family. The education level of the family is an important risk factor for the development of recurrence. In this sense, it was determined that the recurrence risk was 10 times higher in the families whose education level was high school and below in comparison to the families with university degree. We achieved success at a rate of 92% in manipulation and plastering treatment of PEV which was materialized by Ponseti method. The most important factor affecting the treatment was the continuity of the treatment and the compliance with orthosis.
机译：pes pesnovanovarus疾病的家庭因素，治疗选择和结果评估Abdurrahim Gozen 1 ，穆罕默德·阿塔·戈卡普（Mehmet Ata Gokalp 1 ），Seyyid？erif Unsal 1 ，萨瓦斯（Savas） Guner 1 在这项研究中，我们分析了2011年至2013年间因等腰疱疹而在尤金库尔大学学习的患者，并采用庞塞迪方法治疗的患者。因此，我们评估了38例患者在治疗早期的56英尺以及影响治疗的因素。所有患者在治疗前后均进行了系统检查。对于有异常的脚，我们使用了Dimeglo等人的比例尺。平均7.5膏药石膏被施用于患者的脚（范围：3-16）。在PEV患者中，马畸形后48英尺的后足内翻恢复和前足内收后，采用小型开放技术在局部麻醉下进行了小肠切开术。抹灰后，将Steenbeek矫形器应用于脚部。平均随访时间为14个月（5-28个月）。在PEV患者中，最常见的复发成分是meta骨内收肌。在特发性PEV中这一比率为36％，而在复杂PEV中为83％。特发性PEV患者的plant行率为92％。在特发性PEV患者中，矫形器的依从性为81％，而在复杂PEV患者中为33％。除此之外，除一名患者外，在所有具有复杂PEV复发的患者中均已观察到，并对这些患者进行了其他治疗。特发性PEV患者的最终Dimeglio评分在16英尺处非常好，在6英尺处很好。另一方面，在患有复杂PEV的患者中，该评分在4英尺处非常好，在3英尺处很好，在1英尺处不好。 PEV最重要的复发原因是不遵守矫形器规定。不遵守脚外展矫形器的原因如下：较长的处理时间，矫形器对家庭的负面心理影响以及由于家庭已看到矫正脚踝而认为矫形器是不必要的。家庭的受教育程度是复发的重要危险因素。从这个意义上说，确定高中及以下文化程度的家庭的复发风险是大学程度的家庭的十倍。我们通过Ponseti方法实现了PEV的操纵和涂灰处理，取得了92％的成功率。影响治疗的最重要因素是治疗的持续性和对矫形器的依从性。

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