Abstract：
OBJECTIVE: Subtalar arthroereisis is a procedure commonly performed in children with flat feet. The procedure is performed when conservative treatment did not have the desired effect,or when the patient\'s abnormal symptoms are very severe and make it difficult for them to function normally in daily life. The aim of this study was to assess whether subtalar arthroereisis and physiotherapy improve the quality of life among children with flat feet.
METHODS: The study comprised 79 patients (140 operated feet) diagnosed with a flat foot defect who underwent a subtalar arthroereisis procedure. A self-administered questionnaire and a shortened version of the standardised WHOQOL-BREF questionnaire were used in the research.
RESULTS: The study confirmed that the patients\' quality of life after surgery was high in all the areas regarding the somatic, psychological, social and environmental domains. In the group of children assessed 13-24 months after surgery. it was also found that rapid fatigue after exercise (30% ± 9%) and Achilles tendon contracture (7% ± 4%) were significantly reduced. The results of the study confirmed that subtalar arthroereisis contributes to a decreased demand for orthoses in children (9% ± 6%) and for orthopaedic footwear (11% ± 5%) than before surgery.
CONCLUSIONS: The employment of subtalars arthroereisis has a positive effect on the quality of life of children with flat feet. The surgery contributes to a reduction in pain and other abnormal symptoms that are associated with flat feet. In addition, physiotherapy performed after the procedure had a positive effect on the healing process and contributed to the improvement of the children\'s quality of life.
METHODS: The study comprised 79 patients (140 operated feet) diagnosed with a flat foot defect who underwent a subtalar arthroereisis procedure. A self-administered questionnaire and a shortened version of the standardised WHOQOL-BREF questionnaire were used in the research.
RESULTS: The study confirmed that the patients\' quality of life after surgery was high in all the areas regarding the somatic, psychological, social and environmental domains. In the group of children assessed 13-24 months after surgery. it was also found that rapid fatigue after exercise (30% ± 9%) and Achilles tendon contracture (7% ± 4%) were significantly reduced. The results of the study confirmed that subtalar arthroereisis contributes to a decreased demand for orthoses in children (9% ± 6%) and for orthopaedic footwear (11% ± 5%) than before surgery.
CONCLUSIONS: The employment of subtalars arthroereisis has a positive effect on the quality of life of children with flat feet. The surgery contributes to a reduction in pain and other abnormal symptoms that are associated with flat feet. In addition, physiotherapy performed after the procedure had a positive effect on the healing process and contributed to the improvement of the children\'s quality of life.
摘要：
目的：距下关节是扁平足儿童常见的手术。当保守治疗没有达到预期效果时，执行该程序。或当患者的异常症状非常严重，使他们难以在日常生活中正常运作。这项研究的目的是评估距下关节和理疗是否可以改善扁平足儿童的生活质量。
方法：该研究包括79例诊断为扁平足缺损的患者（140只手术脚），这些患者接受了距下关节手术。研究中使用了自我管理的问卷和标准化的WHOQOL-BREF问卷的简化版本。
结果：该研究证实，手术后患者的生活质量在躯体，心理,社会和环境领域。在手术后13-24个月评估的儿童组中。还发现运动后的快速疲劳（30％±9％）和跟腱挛缩（7％±4％）显着降低。研究结果证实，与手术前相比，距下关节对儿童矫形器（9％±6％）和矫形鞋（11％±5％）的需求减少。
结论：距下关节的就业对扁平足儿童的生活质量有积极影响。手术有助于减轻疼痛和其他与扁平足相关的异常症状。此外,手术后进行的物理治疗对愈合过程有积极影响，并有助于改善儿童的生活质量。
方法：该研究包括79例诊断为扁平足缺损的患者（140只手术脚），这些患者接受了距下关节手术。研究中使用了自我管理的问卷和标准化的WHOQOL-BREF问卷的简化版本。
结果：该研究证实，手术后患者的生活质量在躯体，心理,社会和环境领域。在手术后13-24个月评估的儿童组中。还发现运动后的快速疲劳（30％±9％）和跟腱挛缩（7％±4％）显着降低。研究结果证实，与手术前相比，距下关节对儿童矫形器（9％±6％）和矫形鞋（11％±5％）的需求减少。
结论：距下关节的就业对扁平足儿童的生活质量有积极影响。手术有助于减轻疼痛和其他与扁平足相关的异常症状。此外,手术后进行的物理治疗对愈合过程有积极影响，并有助于改善儿童的生活质量。
