Calcaneostop provides favorable outcomes in flexible flatfoot patients

Background Symptomatic flexible flatfoot in children and adolescents should be surgically managed only if conservative measures have failed. The aim of this study was to assess functional and radiological results of tibialis anterior rerouting combined with calcaneal lengthening osteotomy as s single-stage reconstruction of symptomatic flexible flatfoot. Methods The current study was a prospective study of patients with symptomatic flexible flatfoot treated by single-stage reconstruction in the form of tibialis anterior tendon rerouting combined with calcaneal lengthening osteotomy. The American Orthopaedic Foot and Ankle Society score (AOFAS) was utilized to evaluate the functional outcomes. The evaluated radiological parameters included the standing anteroposterior (AP) and lateral talo-first metatarsal angle, talar head coverage angle, and calcaneal pitch angle. Results The current study included 16 patients (28 feet) with a mean age of 11.6 ± 2.1 years. There was a statistically significant improvement in the mean AOFAS score from 51.6 ± 5.5 preoperatively to 85.3 ± 10.2 at final follow-up. Postoperatively, there was a statistically significant reduction in the mean AP talar head coverage angle from 13.6 ± 4.4° to 3.9 ± 3°, the mean AP talo-first metatarsal angle from 16.9 ± 4.4° to 4.5 ± 3.6°, and the mean lateral talo-first metatarsal angle from 19.2 ± 4.9° to 4.6 ± 3.2°, P < 0.001. Additionally, the mean calcaneal pitch angle increased significantly from 9.6 ± 1.9° to 23.8 ± 4.8°, P < 0.001. Superficial wound infection occurred in three feet and was treated adequately by dressing and antibiotics. Conclusion Symptomatic flexible flatfoot in children and adolescents can be treated with combined lateral column lengthening and tibialis anterior rerouting with satisfactory radiological and clinical outcomes. Level of evidence Level IV.

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Tibialis anterior rerouting combined with calcaneal lengthening osteotomy as a single-stage reconstruction of symptomatic flexible flatfoot in children and adolescents

Sakr

Zayda

Mesregah

et al. 2023

J Orthop Surg Res

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"The Benefits of Physical Therapy in the Rehabilitation of Flat Feet in Autism Students between the ages of 10 and 14"

POP,

BOCA,

RUSU

et al. 2023

RJPT

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"Introduction: Autism is a syndrome, the causes of which are still being studied. All children are born with flexible flat feet and decrease in flatness with age, but it is not known how flat they should be with each increase in age. Methods: The research was carried out on 10 subjects, aged between 10-14 years, with autism and flat feet. In the rehabilitation program we used: massage of the lower limb, walking exercises, resistance exercises from the positions: supine, prone, sitting and standing, isometric contractions, varied walking and light running, exercises of relaxation combined with breathing exercises, cycling and athletic elements. Results: The results of the averages obtained at the two initial and final tests, an increase in the values at the final test can be observed, both in the left leg and in the right leg. The manual testing of the muscle strength registered averages between 86% - 94% at the initial testing and improved values at the final testing between 94% - 99%. Feiss line testing results show close means for both the left and right legs, and the standard deviation shows a spread of 0.66 at initial testing and 0.67 at final testing for the left leg and 0.55 and respectively 0.56 on the right leg. Discussion: Considering that studies show the connection between flat feet and overweight, the results of our study indicate that autistic students, despite having flat feet, are in the normal weight category. This aspect can be considered favorable in the approach of applied kinetic treatment. The problem of flat feet in subjects with intellectual deficiency is insufficiently studied; therefore our study could constitute an important landmark in this scientific approach. Conclusions: Analyzing the comparative results, it can be concluded that through physical therapy and the associated means, the muscle deficit can be recovered; the joint balance can be improved, reaching a correct posture while walking in autism flatfeet students"

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Calcaneostop provides favorable outcomes in flexible flatfoot patients

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Cited by 2 publications

References 27 publications

Tibialis anterior rerouting combined with calcaneal lengthening osteotomy as a single-stage reconstruction of symptomatic flexible flatfoot in children and adolescents

Tibialis anterior rerouting combined with calcaneal lengthening osteotomy as a single-stage reconstruction of symptomatic flexible flatfoot in children and adolescents

"The Benefits of Physical Therapy in the Rehabilitation of Flat Feet in Autism Students between the ages of 10 and 14"

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