METHODS: 15 patients (20 feet) with CTEV, with a mean age of 6.4 ± 3.2 years, initially treated with Ponseti casting, underwent Split TATT. Clinical and radiological evaluations, including Diméglio and Garceau scores, dorsiflexion, and X-ray measurements, were conducted preoperatively and post-operatively at a minimum 2-year follow-up.
RESULTS: Significant improvements were observed in Diméglio and Garceau scores. Dorsiflexion increased by an average of 3°, and radiological analysis revealed nuanced changes. Despite a weak Kappa coefficient, positive trends in dorsiflexion and Garceau scores were noted. Preoperative Garceau scores did not reliably predict postoperative results.
CONCLUSIONS: Split TATT demonstrates promising results in improving muscular balance and functional outcomes in CTEV. While radiological changes are subtle, positive trends in clinical scores indicate meaningful outcomes.
METHODS: IV Retrospective study.
方法:15例(20英尺)CTEV患者,平均年龄为6.4±3.2岁,最初用Ponseti铸造处理,接受了SplitTATT。临床和放射学评估,包括Diéglio和Garceau的分数,背屈,和X射线测量,术前和术后进行至少2年的随访。
结果:在Dimeglio和Garceau评分中观察到了显着改善。背屈平均增加3°,放射学分析显示出细微的变化。尽管Kappa系数很弱,观察到背屈和Garceau评分呈正趋势.术前Garceau评分不能可靠地预测术后结果。
结论:SplitTATT在改善CTEV的肌肉平衡和功能结局方面显示出有希望的结果。虽然放射学变化很微妙,临床评分的阳性趋势表明有意义的结局.
方法:IV回顾性研究。