Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/23413054
http://fai.sagepub.com/content/34/2/167.long
De:
Cha SM1, Shin HD, Kim KC, Lee JK.
Foot Ankle Int. 2013 Feb;34(2):167-72. doi: 10.1177/1071100712467616. Epub 2013 Jan 15.
Todos los derechos reservados para:
Copyright © 2015 by American Orthopaedic Foot & Ankle Society
Abstract
BACKGROUND:
Recently, many studies have argued against the Kidner procedure and its several modifications, with the accessory navicular considered an irritant rather than a hindrance to foot function, and simple excision has been advocated. We designed this prospective, comparative study of simple excision and the Kidner procedure in children and adolescents with flatfoot and evaluated functional and radiographic outcomes.
ANTECEDENTES:
Recientemente, muchos estudios han argumentado contra el procedimiento de Kidner y sus varias modificaciones, con el accesorio navicular considerado un irritante en lugar de un obstáculo para la función del pie, y la escisión simple se ha recomendado. Diseñamos este estudio prospectivo, comparativo de la escisión simple y el procedimiento Kidner en niños y adolescentes con pie plano y los resultados funcionales y radiográficos evaluados.
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/23413054
http://fai.sagepub.com/content/34/2/167.long
De:
Cha SM1, Shin HD, Kim KC, Lee JK.
Foot Ankle Int. 2013 Feb;34(2):167-72. doi: 10.1177/1071100712467616. Epub 2013 Jan 15.
Todos los derechos reservados para:
Copyright © 2015 by American Orthopaedic Foot & Ankle Society
Abstract
BACKGROUND:
Recently, many studies have argued against the Kidner procedure and its several modifications, with the accessory navicular considered an irritant rather than a hindrance to foot function, and simple excision has been advocated. We designed this prospective, comparative study of simple excision and the Kidner procedure in children and adolescents with flatfoot and evaluated functional and radiographic outcomes.
METHODS:
From February 2004 to March 2009, we followed 50 consecutive feet of symptomatic type 2 accessory navicular. Simple excision and the Kidner procedure were performed in 25 feet each, respectively. The American Orthopaedic Foot and Ankle Society (AOFAS) Midfoot Scale, the visual analogue scale (VAS), and the talo-first metatarsal, talocalcaneal, and calcaneal pitch angles were evaluated preoperatively and postoperatively for a minimum of 3 years. Patient satisfaction was assessed.
From February 2004 to March 2009, we followed 50 consecutive feet of symptomatic type 2 accessory navicular. Simple excision and the Kidner procedure were performed in 25 feet each, respectively. The American Orthopaedic Foot and Ankle Society (AOFAS) Midfoot Scale, the visual analogue scale (VAS), and the talo-first metatarsal, talocalcaneal, and calcaneal pitch angles were evaluated preoperatively and postoperatively for a minimum of 3 years. Patient satisfaction was assessed.
RESULTS:
The preoperative AOFAS midfoot scale and VAS of each group were improved at final follow-up. The talo-first metatarsal and talocalcaneal angles were not significantly different pre- and postoperatively. However, the calcaneal pitch angle of both groups was improved at the final follow-up. At the final follow-up, we observed no significant differences between the 2 groups in the AOFAS midfoot scale, the VAS, and the talo-first metatarsal, talocalcaneal, and calcaneal pitch angles. The satisfaction frequencies were 86% and 82% in groups 1 and 2, respectively.
The preoperative AOFAS midfoot scale and VAS of each group were improved at final follow-up. The talo-first metatarsal and talocalcaneal angles were not significantly different pre- and postoperatively. However, the calcaneal pitch angle of both groups was improved at the final follow-up. At the final follow-up, we observed no significant differences between the 2 groups in the AOFAS midfoot scale, the VAS, and the talo-first metatarsal, talocalcaneal, and calcaneal pitch angles. The satisfaction frequencies were 86% and 82% in groups 1 and 2, respectively.
CONCLUSIONS:
We found that in children and adolescents with accessory navicular and flatfoot, simple excision and the Kidner procedure both gave satisfactory results and both minimally restored the medial longitudinal arch similarly.
We found that in children and adolescents with accessory navicular and flatfoot, simple excision and the Kidner procedure both gave satisfactory results and both minimally restored the medial longitudinal arch similarly.
LEVEL OF EVIDENCE:
Level II, prospective therapeutic study.
Resumen
Level II, prospective therapeutic study.
Resumen
ANTECEDENTES:
Recientemente, muchos estudios han argumentado contra el procedimiento de Kidner y sus varias modificaciones, con el accesorio navicular considerado un irritante en lugar de un obstáculo para la función del pie, y la escisión simple se ha recomendado. Diseñamos este estudio prospectivo, comparativo de la escisión simple y el procedimiento Kidner en niños y adolescentes con pie plano y los resultados funcionales y radiográficos evaluados.
MÉTODOS:
Desde febrero 2004 hasta marzo 2009, seguimos 50 pies consecutivos del accesorio navicula sintomático tipo 2 . Escisión simple y el procedimiento Kidner se realizaron en 25 pies cada uno, respectivamente. La American Orthopaedic Foot and Ankle Sociedad (AOFAS) Midfoot escala, la escala visual analógica (EVA), y el metatarso-talo primero, talocalcaneal, y ángulos de inclinación del calcáneo fueron evaluados pre y posoperatoria para un mínimo de 3 años. La satisfacción del paciente se evaluó.
Desde febrero 2004 hasta marzo 2009, seguimos 50 pies consecutivos del accesorio navicula sintomático tipo 2 . Escisión simple y el procedimiento Kidner se realizaron en 25 pies cada uno, respectivamente. La American Orthopaedic Foot and Ankle Sociedad (AOFAS) Midfoot escala, la escala visual analógica (EVA), y el metatarso-talo primero, talocalcaneal, y ángulos de inclinación del calcáneo fueron evaluados pre y posoperatoria para un mínimo de 3 años. La satisfacción del paciente se evaluó.
RESULTADOS:
Al final del seguimiento, no se observaron diferencias significativas entre los 2 grupos en la escala AOFAS el medio pie, la EVA, y los ángulos metatarsiano, talocalcaneal, y de paso calcáneo-talo primero. Las frecuencias de satisfacción fueron 86% y 82% en los grupos 1 y 2, respectivamente.
Al final del seguimiento, no se observaron diferencias significativas entre los 2 grupos en la escala AOFAS el medio pie, la EVA, y los ángulos metatarsiano, talocalcaneal, y de paso calcáneo-talo primero. Las frecuencias de satisfacción fueron 86% y 82% en los grupos 1 y 2, respectivamente.
CONCLUSIONES:
Se encontró que en los niños y adolescentes con accesorionavicular y pie plano, la escisión simple y el procedimiento Kidner tanto dieron resultados satisfactorios y mínimamente se restauró el arco longitudinal medial de manera similar.
Se encontró que en los niños y adolescentes con accesorionavicular y pie plano, la escisión simple y el procedimiento Kidner tanto dieron resultados satisfactorios y mínimamente se restauró el arco longitudinal medial de manera similar.
Nivel de evidencia:
Nivel II, estudio terapéutico prospectivo.
PMID: 23413054 [PubMed - Medline]
Nivel II, estudio terapéutico prospectivo.
PMID: 23413054 [PubMed - Medline]
- PMID:
- 23413054
- [PubMed - indexed for MEDLINE]
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