北京中医药大学第三附属医院手足外科;“中医骨伤治疗与运动康复智能化”教育部工程研究中心;
目的：探讨青少年柔韧性扁平足距下关节制动术长期疗效与韧带松弛程度的相关性。方法：回顾性纳入2016年1月至2018年6月行距下关节制动术治疗的74例青少年柔韧性扁平足患者，根据评价韧带松弛程度的Beighton评分分为≥4分的韧带松弛组40例、<4分的非韧带松弛组34例，探讨Beighton评分与末次随访时疼痛视觉模拟评分（VAS）、足踝能力评分（FAAM）、距舟覆盖角、距骨第1跖骨角、距骨第2跖骨角、Meary角、跟骨倾斜角的相关性。结果：74例患者获得54～65个月随访，平均随访（59.2±4.7）个月。。非韧带松弛组患者末次随访时VAS评分、FAAM评分、距舟覆盖角、距骨第1跖骨角、距骨第2跖骨角、Meary角、跟骨倾斜角均明显优于韧带松弛组（P均<0.001）。韧带松弛组患者的Beighton评分与手术疗效相关指标存在相关性；非韧带松弛组患者的Beighton评分与手术疗效相关指标无相关性。结论：对于青少年柔韧性扁平足患者，当Beighton评分≥4分诊断为韧带松弛症时，行距下关节制动术的远期疗效与Beighton评分呈负相关，且疗效不及Beighton评分<4分的非韧带松弛症患者。建议青少年柔韧性扁平足患者术前进行韧带松弛程度的Beighton评分，对于韧带松弛症的该类患者谨慎考虑行距下关节制动术。
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基本信息:
DOI：
中图分类号:R687.3
引用信息:
[1]潘旭月,魏芳远,陈卫衡.青少年柔韧性扁平足距下关节制动术长期疗效与韧带松弛程度的相关性[J].中华骨与关节外科杂志,2024,17(04):347-353.
基金信息:
北京中医药大学高层次人才科研启动项目（2021-XJ-KYQD-001）