Sluijter, Timothy Eric (2023) Lower extremity polydactyly does not disturb finding one’s feet, and the SAM classification system has a low prognostic value. thesis, Medicine.
Full text available on request.Abstract
Background: Little is known about functional outcomes in children with treated lower extremity polydactyly (LEP), and no classification system has yet been proven to be prognostically useful for functional outcomes. This study investigates if children with treated LEP learn to walk at an age comparable to the population and if the SAM classification system (using severity of syndactyly, axis deviation and metatarsal involvement) is prognostically useful. Methods: This is a retrospective cohort study. Testing for association was performed between patient characteristics and SAM scores, the age at which participants learned to walk and their ability to fit off-the-rack shoes. The proportion of children able to walk at 18 months old was compared between participants with treated LEP and the general public. Results: Seventeen patients participated. We found no association between the age at which participants learned to walk in months and the severity of syndactyly (p=0.214), of axis deviation (p=0.723) and of metatarsal involvement (p=0.781). We found no association between the proportion of participants able to wear off-the-rack shoes compared to needing extra-wide off-the-rack shoes and the severity of syndactyly (p=1.000), the severity of axis deviation (p=1.000) and of metatarsal involvement (p=1.000). We found a trend between higher age at the time of surgery and needing extra-wide off-the-rack shoes (OR= 1.008, p=0.080). We found no statistically significant difference in the proportion of children able to walk at 18 months old between our participants (Proportion=1.00) and the general population (Proportion=0.95) (p=1.000). Conclusion: We found no statistically significant association between different SAM scores and functional outcomes. We found no statistically significant difference in the proportion of children able to walk at 18 months old between treated LEP patients and the general population.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Rüttermann, Dr. M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 02 May 2023 13:00 |
| Last Modified: | 02 May 2023 13:00 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3501 |
Actions (login required)
 |
View Item |