소아의 유연성 편평족에서 내측 세로궁 지지대의 효과
The Effect of Medial Arch Support for Flexible Flat Foot of Children
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The author evaluated the clinical and radiological results after wearing the medial arch supports in children. Materials and Methods: 103 patients who had symptomatic flat feet were evaluated from march, 2002 to may 2009. All patients wore the medial arch supports according to the symptoms. We measured parameters at weight-bearing radiographs before and after medial arch support were worn. We also evaluated the clinical scores using the AOFAS score. Results: Mean age of patients was 97 months (11-204 months), all foot of patients involved bilaterally. Mean talo-first metatarsal angle of right foot was 17.7±9.4 and left foot was 19.96±9.5 degrees at AP radiograph in pre-wearing state. Mean calcaneal pitch angle of right foot was 12.0±5.3 and left foot was 11.9±5.8 degrees at lateral radiograph in pre-wearing state. Mean talo-first metatarsal angle of right foot was 14.4±8.05 and left foot was 13.1±8.77 degrees at AP radiograph in post-wearing state. Mean calcaneal pitch angle of right foot was 16.4±5.75 left foot was 16.5±5.6 degrees at lateral radiograph in post-wearing state. The radiographic angles between pre-wearing and post-wearing state were statistically significant (p<0.05). Mean pre-wearing AOFAS hindfoot score was 66.7±9.25, midfoot score was 60.0±9.34 forefoot score was 57.1±11.8. Mean post-wearing AOFAS hindfoot score was 73.2±9.73, midfoot score was 68.1±10.1, forefoot score was 67.2±11.4. The forefoot score was highest improving scores among the AOFAS scores. Conclusion: From our study, we concluded that medial arch support was effective for symptomatic flat feet of children in radiological and clinical results from our study.
Abstract
Purpose: The author evaluated the clinical and radiological results after wearing the medial arch supports in children. Materials and Methods: 103 patients who had symptomatic flat feet were evaluated from march, 2002 to may 2009. All patients wore the medial arch supports according to the symptoms. We measured parameters at weight-bearing radiographs before and after medial arch support were worn. We also evaluated the clinical scores using the AOFAS score. Results: Mean age of patients was 97 months (11-204 months), all foot of patients involved bilaterally. Mean talo-first metatarsal angle of right foot was 17.7±9.4 and left foot was 19.96±9.5 degrees at AP radiograph in pre-wearing state. Mean calcaneal pitch angle of right foot was 12.0±5.3 and left foot was 11.9±5.8 degrees at lateral radiograph in pre-wearing state. Mean talo-first metatarsal angle of right foot was 14.4±8.05 and left foot was 13.1±8.77 degrees at AP radiograph in post-wearing state. Mean calcaneal pitch angle of right foot was 16.4±5.75 left foot was 16.5±5.6 degrees at lateral radiograph in post-wearing state. The radiographic angles between pre-wearing and post-wearing state were statistically significant (p<0.05). Mean pre-wearing AOFAS hindfoot score was 66.7±9.25, midfoot score was 60.0±9.34 forefoot score was 57.1±11.8. Mean post-wearing AOFAS hindfoot score was 73.2±9.73, midfoot score was 68.1±10.1, forefoot score was 67.2±11.4. The forefoot score was highest improving scores among the AOFAS scores. Conclusion: From our study, we concluded that medial arch support was effective for symptomatic flat feet of children in radiological and clinical results from our study.
참고문헌 (17)
- AnanthkrishnanD, "Subluxation of talocalcaneal joint in adults who have symptomatic flat foot", J Bone Joint Surg, 81, pp.1147~1154 (1999)
- Basmajian JV, "The role of muscles in arch support of the foot: an electromyographic study", J Bone Joint Surg Am, 45, pp.1184~1190 (1963)
- Ferri M, "Weightbearing CT scan of severe flexible pes planus deformities", Foot ankle Int, 29, pp.199~204 (2008)
- Kuhn DR, "Radiographic evaluation of weight-bearing orthotics and their effect on flexible pes planus", May, 22, pp.221~226 (1999)
- Kulcu DG, "Immediate effects of silicone insoles on gait patterns in patients with flexible flat foot", Foot Ankle Int, 28, pp.1053~1057 (2007)
- Lin CJ, "Correlating factors and clinical significance of flexible flat foot in preschool children", J Pediatr Orthop, 21, pp.378~382 (2001)
- Mann RA, "Biomechanics of foot and ankle,in surgery of foot and ankle. In: Mann RA, Coughlin MJ, ed. Surgeny of the Foot and Ankle. 6th ed", pp.3~43 (1993), Mosby-Year Book Inc
- Mickle KJ, "Is the foot structure of preschool children moderated by gender", J Pediatr Orthop, 28, pp.593~596 (2008)
- Mueller M, "Use of computed tomography and plantar pressure management of neuropathic ulcers in management of diabetes", Physical Therapy, 79, pp.296~307 (1999)
- El O, "Flexible flat foot and related factors in primary school children: a report of screening study", Rheumatol Int, 26, pp.1050~1053 (2006)
- Pehlivan O, "Radiographic correction of symptomatic and asymptomatic flat foot in young adult males", Int Orthop, 33, pp.447~450 (2009)
- Staheli LT, "The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. The longitudinal arch", J Bone Joint Surg Am, 69, pp.426~428 (1987)
- Sullivan JA, "Paediatric flat foot: evaluation and management", J Am Acad Orthop Surg, 7, pp.44~53 (1999)
- Tareco J, Miller, "Defining flat foot", Foot Ankle Int, 20, pp.456~460 (1999)
- Toolan BC, "Jr. complex reconstruction for the treatment of dorsolateral peritalar subluxation of foot. Early results after distraction arthrodesis of the calcaneocuboid joint in conjunction with stabilization of and transfer of the flexor digitorum longus tendon to the midfoot to treat acquired pes planovalgus in adults", J Bone Joint Surg, 81, pp.1545~1560 (1999)
- Volopon JB, "Footprint analysis during growth period", J Pediatr Orthop, 14, pp.83~85 (1994)
- Younger A S, "Radiographic assessment of adult flat foot", Foot Ankle Int, 26, pp.820~825 (2005)