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Abstract：
UNASSIGNED: The aim of this study was to track the correction of individual components of Pirani scoring system (PSS) over the manipulation and tenotomy phase of Ponseti casting method in idiopathic clubfoot. Additionally, non-zero PSS scores were analysed to find out the residual deformities.
UNASSIGNED: The included feet were assessed initially according to the six component PSS. The individual scores of each component of midfoot and hindfoot were scored at each visit till the final follow up. The final scoring was done before the start of the bracing phase of the feet (with or without tenotomy).
UNASSIGNED: Evaluation was performed for 42 feet in 28 infants (14 bilateral) with mean age of 42.5 ± 39.2 days (range, 15-150 days). All the six components of PSS showed a significant change from the first cast till the pre tenotomy cast. Post tenotomy, there was a significant change in the scores of posterior crease (0.4 ± 0.2 to 0.1 ± 0.1, p < 0.001) and rigid equinus (0.8 ± 0.3 to 0.1 ± 0.2, p < 0.001). 66.7 % (28/42) of the feet had an abnormal empty heel sign of either 0.5 [22/42 (52.3 %)] or 1 [6/42 (14.4 %)] at initiation of bracing.
UNASSIGNED: The individual components of Pirani scoring system changed to a variable extent as the treatment progressed. Curvature lateral border and talar head reached normalcy prior to tenotomy. Posterior crease and rigid equinus showed a significant reduction after tenotomy. The non-zero empty heel component may require careful interpretation both post treatment and during follow ups.
UNASSIGNED: The included feet were assessed initially according to the six component PSS. The individual scores of each component of midfoot and hindfoot were scored at each visit till the final follow up. The final scoring was done before the start of the bracing phase of the feet (with or without tenotomy).
UNASSIGNED: Evaluation was performed for 42 feet in 28 infants (14 bilateral) with mean age of 42.5 ± 39.2 days (range, 15-150 days). All the six components of PSS showed a significant change from the first cast till the pre tenotomy cast. Post tenotomy, there was a significant change in the scores of posterior crease (0.4 ± 0.2 to 0.1 ± 0.1, p < 0.001) and rigid equinus (0.8 ± 0.3 to 0.1 ± 0.2, p < 0.001). 66.7 % (28/42) of the feet had an abnormal empty heel sign of either 0.5 [22/42 (52.3 %)] or 1 [6/42 (14.4 %)] at initiation of bracing.
UNASSIGNED: The individual components of Pirani scoring system changed to a variable extent as the treatment progressed. Curvature lateral border and talar head reached normalcy prior to tenotomy. Posterior crease and rigid equinus showed a significant reduction after tenotomy. The non-zero empty heel component may require careful interpretation both post treatment and during follow ups.
摘要：
■这项研究的目的是在特发性马蹄足的Ponseti铸造方法的操作和肌腱切开术阶段跟踪皮拉尼评分系统（PSS）的各个组件的校正。此外,分析非零PSS评分以找出残余畸形。
■最初根据六组分PSS评估包括的脚。在每次访问中对中足和后足的每个组成部分的个体得分进行评分，直到最后的随访。最终评分是在脚的支撑阶段开始之前进行的（有或没有肌腱切开术）。
■对28名婴儿（14名双侧婴儿）的42英尺进行了评估，平均年龄为42.5±39.2天（范围，15-150天）。PSS的所有六个组成部分都显示出显着变化，从第一个石膏到肌腱切开术前石膏。肌腱切开术后,后折痕(0.4±0.2至0.1±0.1,p<0.001)和刚性马蹄(0.8±0.3至0.1±0.2,p<0.001)评分有显著变化。在开始支撑时，66.7％（28/42）的脚有0.5[22/42（52.3％）]或1[6/42（14.4％）]的异常空脚跟征。
■随着治疗的进行，皮拉尼评分系统的各个组成部分发生了不同程度的变化。肌腱切开术前曲率外侧缘和距骨头均恢复正常。肌腱切开术后后折痕和僵硬的马蹄明显减少。非零空脚跟组件可能需要在治疗后和随访期间仔细解释。
■最初根据六组分PSS评估包括的脚。在每次访问中对中足和后足的每个组成部分的个体得分进行评分，直到最后的随访。最终评分是在脚的支撑阶段开始之前进行的（有或没有肌腱切开术）。
■对28名婴儿（14名双侧婴儿）的42英尺进行了评估，平均年龄为42.5±39.2天（范围，15-150天）。PSS的所有六个组成部分都显示出显着变化，从第一个石膏到肌腱切开术前石膏。肌腱切开术后,后折痕(0.4±0.2至0.1±0.1,p<0.001)和刚性马蹄(0.8±0.3至0.1±0.2,p<0.001)评分有显著变化。在开始支撑时，66.7％（28/42）的脚有0.5[22/42（52.3％）]或1[6/42（14.4％）]的异常空脚跟征。
■随着治疗的进行，皮拉尼评分系统的各个组成部分发生了不同程度的变化。肌腱切开术前曲率外侧缘和距骨头均恢复正常。肌腱切开术后后折痕和僵硬的马蹄明显减少。非零空脚跟组件可能需要在治疗后和随访期间仔细解释。
