Arthroereisis with interference screw in flexible flatfoot, a comparison with the conventional surgical technique

J. S. Martins, Lucas vaz Peixoto, Leonardo Pires Silva de Castro, Gabriella de Figueiredo Rodrigues, Leandro Oliveira Silva, Janaina Yacy Hess Ferreira, Isabela Oliveira Caldeira de Moura
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Abstract

Objective: To evaluate functional results of subtalar arthroereisis with non-conventional implants, as well as their clinical, radiographic, and functional results, comparing them with those of the conventional technique. Methods: Documentary research consisting of the analysis and review of medical records of six patients, with application of the Orthopaedic Foot and Ankle Score (AOFAS) and Short Form Health Survey 36 (SF-36) questionnaires and evaluation of pre-and postoperative radiographic results. Results: Patients achieved satisfactory clinical and functional results, indicated by an improvement in the pitch, kite, Giannestras, and Meary angles analyzed and by comparing the pre-and postoperative periods. There was also an improvement in the AOFAS and SF-36 questionnaire scores postoperatively, suggesting an evolution in the quality of life of patients studied. Conclusion: Subtalar arthroereisis is a non-invasive surgical procedure that contributes to the clinical improvement of patients. The use of interference screw showed good results, with the advantage of it being a low-cost implant when compared to the conventional ones, which makes the procedure more accessible. Level of Evidence III; Therapeutic Studies; Case control study.
柔性扁平足用干扰螺钉关节松动术与传统手术技术的比较
目的评估使用非常规植入物进行踝关节置换术的功能效果,以及其临床、影像学和功能效果,并与传统技术的效果进行比较。方法:文献研究文献研究,包括分析和回顾六名患者的病历,采用骨科足踝评分(AOFAS)和简表健康调查 36(SF-36)问卷,并评估术前和术后的影像学结果。结果:患者取得了令人满意的临床和功能效果,具体表现为俯仰角、风筝角、吉安内斯特拉角和梅里角的改善,以及术前和术后的比较。术后的 AOFAS 和 SF-36 问卷评分也有所改善,表明患者的生活质量有所提高。结论膝关节置换术是一种无创外科手术,有助于改善患者的临床症状。使用干扰螺钉取得了良好的效果,其优点是与传统螺钉相比,干扰螺钉是一种低成本的植入物,这使得该手术更容易获得。证据等级 III;治疗研究;病例对照研究。
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