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首页> 外文期刊>Foot and ankle international >Foot Function in Patients With Surgically Treated Preaxial Polydactyly of the Foot Compared With Age- and Sex-Matched Healthy Controls
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Foot Function in Patients With Surgically Treated Preaxial Polydactyly of the Foot Compared With Age- and Sex-Matched Healthy Controls

机译：与年龄和性别匹配的健康对照相比，患者手术治疗的术治疗术治疗的脚下功能

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Background: Treatment of preaxial foot polydactyly, a duplication of the first ray, consists of excision of an extra ray, aiming to improve shoe fitting and aesthetic appearance, while maintaining foot function. Currently, the effect of excision on foot function and foot-related patient experiences is unclear. Methods: A cross-sectional comparison between 37 children treated for preaxial foot polydactyly and 37 age- and sex-matched healthy controls was performed. Dynamic foot function was assessed using plantar pressure measurements and static foot characteristics by physical examination. Patient-reported outcomes for foot function and footwear were evaluated, using the Oxford Ankle Foot Questionnaire for Children (score, 0-100). Results: Compared with controls, patients had significantly lower median peak pressures at the hallux (148 kPa [IQR, 98-245] vs 272 kPa [IQR, 205-381], P < .001) and significantly higher peak pressures at the second metatarsal (217 kPa [IQR, 147-338] vs 166 kPa [IQR, 141-235], P = .002) and third to fifth metatarsals (214 kPa [IQR, 147-290] vs 161 kPa [IQR, 135-235], P < .001). Additionally, patients had a more medially deviated hallux, both while seated (15 degrees (IQR, 11-20) vs 12 degrees [IQR, 10-15], P = .001) and standing (20 degrees [IQR, 15-26] vs 18 degrees [IQR, 15-20], P = .001). No significant correlation between peak pressure distribution and hallux deviation was found. Patients reported minimal problems with foot function (87.5 [IQR, 64.6-100]), but distinct problems with footwear use (50.0 [IQR, 25.0-100]). Conclusion: Patients with surgically treated preaxial foot polydactyly had a substantially altered plantar pressure distribution with more lateral foot progression than healthy controls. Although an increased hallux deviation was not related to altered foot function, it seemed to be the reason for the patient-perceived problems with footwear.
机译：背景技术：术治疗脚下的脚下，第一射线的重复，包括切除额外射线，旨在改善鞋子配件和美学外观，同时保持脚功能。目前，切除对脚功能和脚相关患者体验的影响尚不清楚。方法：进行37例术治疗的37例儿童的横截面比较和37例年龄和性匹配的健康对照。使用Purtomarar压力测量和静态足部特性进行动态脚功能通过体格检查。评估患者报告的脚功能和鞋类的结果，使用牛津踝足调查表（得分，0-100）。结果：与对照组相比，患者在霍华克斯中的中位数较低（148kPa [IQR，98-245] VS 272 KPA [IQR，205-381]，P <.001）在第二次下降明显较高跖骨（217 KPA [IQR，147-338] VS 166 KPA [IQR，141-235]，P = .002）和第三到第五个跖骨（214 KPA [IQR，147-290] VS 161 KPA [IQR，135- 235] p <.001）。此外，患者在坐着的同时具有更加内侧偏离的Hallux（15度（IQR，11-20）Vs 12度[IQR，10-15]，P = .001）和常设（20度[IQR，15-26 ] VS 18度[IQR，15-20]，p = .001）。发现了峰值压力分布与霍固偏差之间没有显着相关性。患者报告了脚功能的最小问题（87.5 [IQR，64.6-100]），但鞋类使用不同（50.0 [IQR，25.0-100]）。结论：手术治疗的术治疗术患者多乳淀粉基本上改变的跖跖了压力分布，具有比健康对照更侧向脚进展。虽然较高的Hallux偏差与脚功能无关，但似乎是鞋类患者感知问题的原因。

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