MODIFIED MUBARAK TECHNIQUE FOR FLEXIBLE FLATFOOT CORRECTION IN CHILDREN AND ADOLESCENTS.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1413-785220233104e265045

Bruno Air Machado DA Silva, Nilzio Antônio DA Silva, Jonatas Barbosa Vasconcelos

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Abstract

Objective: To describe the technique, analyze possible radiographic correction and evaluate the clinical result of medial and plantar calcaneal displacement osteotomy associated with opening wedge cuboid osteotomy for flexible flatfoot correction.

Methods: 23 patients (30 feet) diagnosed with flexible flat foot treated with plantar and medial calcaneal displacement osteotomy associated with opening wedge cuboid osteotomy were evaluated retrospectively. In the lateral radiographs calcaneal pitch and Meary's angle were the radiographic parameters evaluated; while the talonavicular coverage angle was evaluated in the anteroposterior radiographs. To assess the clinical outcome of the surgical procedure, the American Orthopedic Foot and Ankle Society Score (AOFAS) for the ankle and hindfoot was adopted.

Results: The mean values of the evaluated angles and AOFAS score for ankle and hindfoot significantly improved when comparing pre- and postoperative values.

Conclusion: Plantar and medial calcaneal displacement osteotomy associated with an opening wedge cuboid osteotomy is able to improve radiological and clinical parameters of child patients with flexible flatfoot. Level of Evidence III, Retrospective Comparative Study.

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改良穆巴拉克技术在儿童和青少年柔韧性扁平足矫正中的应用。

目的:介绍内、足底跟骨移位截骨联合开楔长方体截骨术矫治柔性平足的技术，分析可能的影像学矫正方法，评价临床效果。方法:回顾性分析23例(30尺)软性扁平足患者行足底与跟内侧移位截骨联合开楔长方体截骨术的临床资料。侧位片评价跟骨节距和Meary角的影像学参数;而距舟骨覆盖角则在正位x线片上进行评估。为了评估手术的临床效果，采用美国骨科足踝社会评分(AOFAS)对踝关节和后足进行评分。结果:踝关节和后足的评估角度平均值和AOFAS评分在术前和术后比较有明显改善。结论:足底和内侧跟骨移位截骨术联合开放楔形长方体截骨术能够改善儿童柔性扁平足的影像学和临床参数。证据水平III，回顾性比较研究。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.