Möglichkeiten und Grenzen der subtalaren Arthrorise im Kindesalter

Abstract

The minimally invasive subtalar screw arthroereisis procedure is becoming an increasingly more established option for treating juvenile flexible flatfoot. The procedure is indicated in children who are 9-13 years old and have idiopathic juvenile flexible flatfoot that has progressed to a symptomatic pathology. Minimally invasive subtalar screw arthroereisis functions by a combination of mechanical and proprioceptive effects that allow for growth adjustment of the subtalar joint and with a low complication rate. This surgical intervention is contraindicated for treating fixed and secondary pes plano valgus. The subtalar screw is removed once the pediatric foot has stopped growing and results in permanent correction of the flexible flatfoot.

Talocalcaneal coalition combined with flatfoot in children: diagnosis and treatment: a review

“…Arthroereisis functions by a combination of mechanical and proprioceptive effects that allow for growth adjustment of the subtalar joint and with a low complication rate. Though arthroereisis is contraindicated for treating fixed and secondary pes planovalgus [ 58 ]; the foot may gain mobility, albeit still limited, once resection of the talocalcaneal coalition has been performed. Gougoulias thought that gastrocnemius, Achilles, and/or peroneal tendon releases should be performed when the foot is in a planovalgus appearance, and also corrective calcaneal osteotomy may be required for young and adolescent patients with a flexible deformity to avoid equinus or further recurrence [ 49 ].…”