Kadir Bahadır ALEMDAROĞLU, Özgür ŞAHİN, Ahmet ÖZMERİÇ, Gökhun ARICAN

18-22 YAŞ ARALIĞI ERKEKLERDE PES PLANUS PREVALANSI: KESİTSEL ÇALIŞMA

AMAÇ: Pes planus (düztabanlık) genel olarak ayağa yük verirken arka ayağın valgusu, orta ayakta medial longitudinal arkın (MLA) kaybolması ve önayağın arka ayağa göre supinasyonu olarak tanımlanır (1-5). Pes planus tanımlanması için kesin klinik veya radyografik kriterler konusunda fikir birliği yoktur (9). Bu nedenle pes planusun gerçek prevalansı bilinmemektedir.GEREÇ VE YÖNTEM: SBÜ Ankara Sağlık Araştırma ve Uygulama Merkezi Etik Kurul Komisyonu onayı alınarak yapılmıştır. Kliniğimizde 2018 yılındaaskeri muayene amacıyla kontrollere gelen 18-22 yaş arası 5000 erkek hasta çalışmaya alınarak retrospektif olarak değerlendirildi. Tüm hastalar klinik olarakmuayene edildikten sonra her iki ayak basarak çekilen Anteroposterior ve lateralayak grafileri değerlendirmeye alınarak ‘Kalkaneal pitch ve Meary açıları’ ölçüldü.Klinik ve her iki radyografik test ile bilateral pes planusu olan hastalar tespit edildi.Tüm hastaların yaş, boy, kilo, BMI ve radyografik ölçümleri kayıt altına alındı.BULGULAR: Çalışmaya alınan 5000 olgunun tamamı erkek hastaydı. Yaşortalaması 19.2 ± 1,058 (18-22 yaş), ağırlık ortalaması 68,4±5,5 kg, boyortalaması ise 176,425±4.5 cm olarak hesaplandı.18-22 yaş arasında bulu- nan 5000 erkek hastayı incelediğimiz çalışmamızda pes planus prevalansı%5.26 olarak tespit edilmiştir. Ayağın yüklü radyografilerinde ölçülen solayak kalkaneal pitch açısı 23,1242±2.848°, sağ ayak kalkaneal pitch açısı23,343±2.61°, sol ayak Meary açısı 4,6972±4.402°, sağ ayak Meary açısı4,6808±3.218°olarak kaydedildi. Yapılan çoklu varyans korelasyonlarda;kilo, sol ve sağ ayak Meary açısı ile ayrı ayrı karşılaştırıldığında kilo artışıistatistiksel olarak anlamlı bulunmuştur (p

THE PREVALENCE OF PES PLANUS IN MALES BETWEEN THE AGES OF 18-22: CROSS-SECTIONAL STUDY

INTRODUCTION: Pes planus (flat foot) is generally defined as the valgus of the posterior foot, medial longitudinal arch (MLA) in the middle of the foot and supination of the forefoot to the posterior foot (1-5). There is no consensus on definitive clinical or radiographic criteria for the definition of pes planus (9). Therefore, the true prevalence of pes planus is unknown. MATERIAL AND METHODS: Health Sciences University Ankara Health Research and Application Center has been approved by the Ethics Committee Commission. A total of 5,000 male patients aged between 18 and 22 years were included in the study and evaluated retrospectively. After all the patients were examined clinically, anteroposterior and lateral foot radiographs were taken and the ‘calcaneal pitch’ and ‘Meary angles’ were measured. Clinical and radiographic tests and patients with bilateral flat foot were detected. Age, height, weight, BMI and radiographic mea- surements of all patients were recorded. RESULTS: All 5000 patients included in the study were male. The mean age was 19.2 ± 1.058 (18-22 years), mean weight was 68.4 ± 5.5 kg, and the mean height was 176.425 ± 4.5 cm. The prevalence of pes planus was determined as 5.26%. Left foot calcaneal pitch angle was 23,1242 ± 2,848 °, right foot calcaneal pitch angle was 23,343 ± 2.61 °, left foot Meary an- gle was 4,6972 ± 4.402 °, right foot Meary angle was 4,6808 ± 3,218 °. In multiple variance correlations; Weight gain was statistically significant compared to weight, separately with Meary angle of left and right foot (p< 0.05) The weight of the left foot calcaneal pitch and weight were found sta- tistically significant (p=0.036). The weight of the right foot calcaneal pitch and weight were found statistically significant (p

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