背景:先天性马蹄内翻足(CTEV),也被称为马蹄内翻足,描述了通常在出生时出现的一系列足部异常(先天性),其中婴儿的足部扭曲变形或位置。在马蹄内,肌腱比平常短。马蹄内翻足是一种相当常见的出生缺陷,对于其他健康的新生儿来说通常是一个孤立的问题。
目的:本研究旨在调查Abha儿科三级中心的经验,沙特阿拉伯,关于管理,频率,治疗方案,和CTEV的结果。
方法:对儿童马蹄内翻足患者进行回顾性分析,以评估病例数,治疗方案,和结果在Abha妇幼保健院和KhamisMushait妇幼保健院。使用预结构化数据提取表单独立提取数据。收集的数据包括人口统计和医学信息,家族史,临床流行病学信息,危险因素,管理选项,和马蹄内翻足并发症。
结果:该研究包括来自目标医院的89名CTEV儿童。他们的年龄从20天到6岁不等,平均年龄10.5±14.5个月。其中,57(64%)为男性。53例(59.5%)为单侧CTEV,36例(40.5%)为双侧CTEV。大多数病例有孤立的CTEV。几乎所有病例都进行了肌腱跟腱切开术(TAT)手术的Ponseti铸造。患者随访时间从一周到三年不等,平均随访3.1个月。治疗后只有3例(3.4%)出现畸形复发。
结论:采用肌腱-跟腱切开术的Ponseti铸造成为最常用的管理选择,显示复发率低。
BACKGROUND: Congenital talipes equinovarus (CTEV), also known as clubfoot, describes a range of foot abnormalities usually present at birth (congenital) in which a baby\'s foot is twisted out of shape or position. In clubfoot, tendons are shorter than usual. Clubfoot is a fairly common birth defect and is usually an isolated problem for an otherwise healthy newborn.
OBJECTIVE: This study aimed to investigate the experiences of pediatric tertiary centers in Abha, Saudi Arabia, regarding the management, frequency, treatment options, and outcomes of CTEV.
METHODS: A retrospective chart review of pediatric patients with clubfoot was conducted to evaluate the number of cases, treatment options, and outcomes at Abha Maternity and Children Hospital and Khamis Mushait Maternity and Children Hospital. Data were extracted independently using prestructured data extraction forms. The collected data included demographic and medical information, family history, clinico-epidemiological information, risk factors, management options, and complications of clubfoot.
RESULTS: The study included 89 children with CTEV from the target hospitals. Their ages ranged from 20 days to six years, with a mean age of 10.5 ± 14.5 months. Of these, 57 (64%) were male. CTEV was unilateral in 53 (59.5%) cases and bilateral in 36 (40.5%) cases. The majority of the cases had isolated CTEV. Nearly all cases had Ponseti casting with a tendo-Achilles tenotomy (TAT) surgical procedure. Patient follow-up ranged from one week to three years, with an average follow-up of 3.1 months. Only three (3.4%) cases experienced recurrence of deformity after management.
CONCLUSIONS: Ponseti casting with the tendo-Achilles tenotomy approach emerged as the most commonly employed management option, demonstrating a low rate of recurrence.