PDF(Pubmed)
Abstract：
UNASSIGNED: The treated clubfoot children are often evaluated clinically during follow-up. However, patient reported outcomes (PROM) are seldom analysed for these children. We investigated 87 idiopathic clubfoot children (140 feet) treated by the Ponseti method and followed minimum 5 years to study their clinical outcomes and PROM.
UNASSIGNED: This was a cross-sectional study, based on evaluating treated clubfoot children clinically (Pirani score) and PROM (Oxford Ankle and Foot Questionnaire - Parent Version) and comparing them with the age-matched healthy controls (n = 60). The questionnaire has four main domains related to the child\'s physical, school and play, emotional and footwear profile. The children having persistent deformity (residual/relapse) were specifically studied for their PROM scores.
UNASSIGNED: The mean child age at initial treatment was 2.3 months and the mean follow-up duration was 6.9 years. The PROM score of clubfoot children was statistically lower than the healthy controls (p < 0.001). Of the individual domains, the physical domain was the most affected. On calculating the Pirani scores, 10 out of 140 feet (7 %) had some form of persistent deformity. The children with persistent deformity had lower Oxford scores than healthy children or those with corrected feet. The physical domain followed by the emotional domain scored low when persistent deformity was present.
UNASSIGNED: Most children (98 %) had a plantigrade foot following Ponseti treatment at follow-up. However, PROM score of the clubfoot children did not correspond to the clinical outcome. Persistent deformity, even minor, was a cause of parental concern and resulted in a low PROM score.
UNASSIGNED: This was a cross-sectional study, based on evaluating treated clubfoot children clinically (Pirani score) and PROM (Oxford Ankle and Foot Questionnaire - Parent Version) and comparing them with the age-matched healthy controls (n = 60). The questionnaire has four main domains related to the child\'s physical, school and play, emotional and footwear profile. The children having persistent deformity (residual/relapse) were specifically studied for their PROM scores.
UNASSIGNED: The mean child age at initial treatment was 2.3 months and the mean follow-up duration was 6.9 years. The PROM score of clubfoot children was statistically lower than the healthy controls (p < 0.001). Of the individual domains, the physical domain was the most affected. On calculating the Pirani scores, 10 out of 140 feet (7 %) had some form of persistent deformity. The children with persistent deformity had lower Oxford scores than healthy children or those with corrected feet. The physical domain followed by the emotional domain scored low when persistent deformity was present.
UNASSIGNED: Most children (98 %) had a plantigrade foot following Ponseti treatment at follow-up. However, PROM score of the clubfoot children did not correspond to the clinical outcome. Persistent deformity, even minor, was a cause of parental concern and resulted in a low PROM score.
摘要：
■经常在随访期间对治疗过的马蹄内翻足儿童进行临床评估。然而,很少对这些儿童的患者报告结局(PROM)进行分析.我们调查了通过Ponseti方法治疗的87名特发性马蹄内翻足儿童（140英尺），并随访了至少5年，以研究其临床结局和PROM。
■这是一项横断面研究，根据临床（皮拉尼评分）和PROM（牛津踝关节和足部问卷-父母版）评估治疗的马蹄内翻足儿童，并将其与年龄匹配的健康对照（n=60）进行比较。问卷有四个与孩子的身体相关的主要领域，学校和玩耍，情感和鞋类配置文件。对患有持续性畸形（残留/复发）的儿童进行了PROM评分的专门研究。
■初始治疗时的平均儿童年龄为2.3个月，平均随访时间为6.9年。马蹄内翻足患儿的PROM评分在统计学上低于健康对照组(p<0.001)。在各个领域中，物理领域受影响最大。在计算皮拉尼分数时，140英尺中的10英尺（7％）有某种形式的持续性畸形。持续性畸形儿童的牛津得分低于健康儿童或双脚矫正儿童。当存在持续性畸形时，随后的物理领域和情感领域得分较低。
■大多数儿童（98％）在随访时接受Ponseti治疗后，足部表现平缓。然而,马蹄内翻足患儿的PROM评分与临床结果不符。持续性畸形,即使是次要的,是父母关心的原因，导致PROM得分低。
■这是一项横断面研究，根据临床（皮拉尼评分）和PROM（牛津踝关节和足部问卷-父母版）评估治疗的马蹄内翻足儿童，并将其与年龄匹配的健康对照（n=60）进行比较。问卷有四个与孩子的身体相关的主要领域，学校和玩耍，情感和鞋类配置文件。对患有持续性畸形（残留/复发）的儿童进行了PROM评分的专门研究。
■初始治疗时的平均儿童年龄为2.3个月，平均随访时间为6.9年。马蹄内翻足患儿的PROM评分在统计学上低于健康对照组(p<0.001)。在各个领域中，物理领域受影响最大。在计算皮拉尼分数时，140英尺中的10英尺（7％）有某种形式的持续性畸形。持续性畸形儿童的牛津得分低于健康儿童或双脚矫正儿童。当存在持续性畸形时，随后的物理领域和情感领域得分较低。
■大多数儿童（98％）在随访时接受Ponseti治疗后，足部表现平缓。然而,马蹄内翻足患儿的PROM评分与临床结果不符。持续性畸形,即使是次要的,是父母关心的原因，导致PROM得分低。
