HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

Chen, Cheng; Jiang, Jiantao; Fu, ShaoLing; Wang, Cheng; Yan, Shuicheng; Mei, GuoHua; Xue, Jianfeng; Zou, Jian; Li, Xue–Qian; Shi, Zhongmin

doi:10.3389/fped.2022.857458

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…In comparison, Graham et al in their study, in a group of 78 adult patients treated with the HyProCure ® implant, recorded an average MFS score of 88 [2]. In another study conducted by Chen et al, 69 pediatric flexible flatfoot patients (107 feet) treated with the HyProCure ® implant reported a mean MFS score of 90.4 after surgery [26]. As noted by Chen et al, improper trial sizing could lead to a larger size selection, thus preventing the ideal depth of implant placement, which is a risk factor for unsatisfactory post-operative efficacy.…”

Section: Discussionmentioning

confidence: 94%

Prospective, Long-Term Functional Outcomes of Extra-Osseous Talotarsal Stabilization (EOTTS) Using HyProCure in Adult Patients with Talotarsal Joint Instability: Assessment of Physical Activity and Patient Satisfaction

Kołodziej,

Ciechanowicz,

Wójtowicz

et al. 2023

JCM

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Background: The partial dislocation of the talus from the calcaneus and navicular bones is a primary factor leading to a prolonged overpronation during weightbearing. This study aimed to assess the possibility of returning to physical activity and long-term patient satisfaction after an extra-osseous talotarsal stabilization (EOTTS) procedure with a HyProCure sinus tarsi implant for partial talotarsal joint dislocation (TTJ). Methods: A total of 41 adult patients (61 feet), with an average age of 46.41, were included and treated surgically with EOTTS as a stand-alone surgery. Physical activity and functional scores were assessed pre- and post-operatively using questionnaires—the UCLA Activity Score, Symptom-Related Ankle Activity Scale (SAAS), Sports Frequency Score (SFS), Lower Extremity Functional Scale (LEFS), and VAS scale. Satisfaction was assessed on a ten-point scale. The follow-up period was on average 8.61 years (from 7.33 to 10.31). Results: EOTTS had a positive impact on physical activity, and a high rate of patient satisfaction (8.95 ± 1.9) was noted. The treatment led to a reduction in foot pain, as well as an increase in SAAS and LEFS scores (15,6% and 19,3%, respectively, p < 0.01). The VAS pain score decreased by 18,6% (p < 0.001). SFS and UCLA scores showed a small increase, but it was not statistically significant. A positive correlation was noted between patient satisfaction and time of physical activity per week (R = 0.33, p = 0.04), and also between patient satisfaction and SAAS scores (R = 0.43, p =0.005). Pain from other joints (knee, hip) was eliminated or reduced in 40% of patients after surgery. Conclusions: EOTTS with a HyProCure implant is an effective long-term treatment option for partial talotarsal joint dislocation, leading to a reduction in foot pain and increased patient satisfaction, and allowing for a return to physical activity.

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Section: Discussionmentioning

confidence: 94%