대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제19권4호
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  • Pages.176-180
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  • 2015
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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증상이 동반된 소아 유연성 편평족 치료에서의 Calcaneo-stop 술식

Calcaneo-stop Procedure for Management of Pediatric Symptomatic Flexible Flatfoot

  • 이강 (강원대학교 의학전문대학원 정형외과학교실) ;
  • 남영준 (강원대학교 의학전문대학원 정형외과학교실)
  • Lee, Kang (Department of Orthopaedic Surgery, Kangwon National University School of Medicine) ;
  • Nam, Young Joon (Department of Orthopaedic Surgery, Kangwon National University School of Medicine)
  • 투고 : 2015.10.20
  • 심사 : 2015.11.11
  • 발행 : 2015.12.15
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초록

Purpose: The aim of the current study is to report on the clinical and radiographic results after calcaneo-stop procedure in Korean children with symptomatic flexible flatfoot. Materials and Methods: Twenty-two children suffering pain along the medial aspect of midfoot with flexible flatfoot whose symptoms did not improve with conservative measures and therefore underwent calcaneo-stop procedure were identified retrospectively. Clinically, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and visual analogue scale (VAS) were evaluated. Radiographically, standing anteroposterior and lateral radiographs of the foot and Saltzman's alignment views were taken and talonavicular coverage angle, lateral talo-first metatarsal angle, and hindfoot alignment angles were measured and analyzed. Results: Clinically, AOFAS ankle-hindfoot scale improved from $70.3{\pm}5.6$ to $97.3{\pm}2.5$ and VAS improved from $6.4{\pm}1.6$ to $0.2{\pm}0.4$. Radiographically, talonavicular coverage angle improved from $28.3^{\circ}{\pm}12.3^{\circ}$ to $10.9^{\circ}{\pm}8.1^{\circ}$, lateral talo-first metatarsal angle improved from $-19.3^{\circ}{\pm}9.0^{\circ}$ to $-2.4^{\circ}{\pm}8.1^{\circ}$, and hindfoot alignment angle improved from valgus $11.9^{\circ}{\pm}10.0^{\circ}$ to $3.5^{\circ}{\pm}4.3^{\circ}$ at minimum 2-year follow-up. No complications occurred postoperatively. Conclusion: Calcaneo-stop procedure is a simple and very effective procedure for management of pediatric symptomatic flexible flatfoot that does not respond to conservative treatment.

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참고문헌

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