Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Bresnahan, Philip J.; Juanto, Mario A.

doi:10.3389/fped.2020.00019

Cited by 32 publications

(36 citation statements)

References 90 publications

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“…For subtalar arthroereisis studies with an individual mean radiological follow-up of ≥ 48 months, a median A-TCA of 23° was found at latest follow-up, being within the normal range of 20° to 40° for infants and children reported by Vanderwilde et al ( 58 ). Likewise, median L-TCA and median calcaneal pitch were slightly below the values defined for normal pediatric feet ( 13 , 58 ), but had overall improved by 5° from preoperative to latest follow-up. With a median L-T1MA of 9.4° at final follow-up, there was still a remnant pes planus component ( 58 ), although an overall reduction of 3.5° had been achieved.…”

Section: Discussionmentioning

confidence: 72%

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Long-term clinical and radiological outcomes following surgical treatment for symptomatic pediatric flexible flat feet: a systematic review

Smolle

Švehlík

Regvar

et al. 2022

ActaO

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Background and purpose: Albeit pediatric flexible flat foot (FFF) is a common condition, only a minority of patients become symptomatic. Long-term outcomes of surgically treated pediatric patients with symptomatic FFF are largely unknown. In this systematic review, studies providing outcomes at a mean follow-up of at least 4 years after the procedure in these patients were analyzed. Material and methods: A PubMed search was undertaken involving original articles published up to July 2021 on outcome in children aged 6 to 14 with surgically treated FFF and mean (or minimum) follow-up of at least 4 years. Radiographic and clinical outcomes were analyzed. Results: Of initially 541 entries, 10 could be included in the systematic review (all level IV), involving 846 pediatric patients with 1,536 symptomatic FFF. Pooled mean radiological (n = 8) and clinical follow-up (n = 10) was 5.3 (range 0.5–15) and 7.0 (range 4.1–15) years, respectively. Surgical procedures included arthroereisis (n = 8), lateral column lengthening (n = 1), and Horseman procedure (n = 1). Overall relative frequency of implant-associated complications and wound-healing problems was 3.2% and 1.3%, as well as 2.8% and 1.6% following subtalar arthroereisis only. From preoperative to latest radiological assessment following subtalar arthroereisis (including 3 studies with radiological follow-up < 48 months), pooled median decrease in talonavicular coverage angle (TNCA; –9.2°), anteroposterior talocalcaneal angle (A-TCA; –6.5°), lateral talocalcaneal angle (L-TCA; –3.5°), talar declination angle (TDA; –14°),Moreau Costa Bertani angle (MCB; –13°), and talo-firstmetatarsal angle (L-T1MA; –10°) was observed, as was an increase in calcaneal pitch (4.5°). Interpretation: In symptomatic pediatric FFF patients, surgery is associated with a manageable complication profile, and results in satisfactory long-term clinical as well as radiological outcome. Yet scientific evidence is low, warranting larger scaled studies in the future.

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Section: Discussionmentioning

confidence: 72%

“…The type of surgery depends on the extent of abnormalities present ( 1 , 12 , 13 ). Surgical approaches consist of repositioning procedures such as joint-preserving osteotomies, arthroereisis, and—though seldom performed—also arthrodesis.…”

mentioning

confidence: 99%

Long-term clinical and radiological outcomes following surgical treatment for symptomatic pediatric flexible flat feet: a systematic review

Smolle

Švehlík

Regvar

et al. 2022

ActaO

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“…Pes planus is a common condition in the young population and is frequently encountered in adults [ 16 ]. From 2001 to 2016, the rate of hospital admissions in Italy for flatfoot patients under 15 years old increased from 28.97 in 2001 to 142.79 (× 100,000 inhabitants).…”

Section: Discussionmentioning

confidence: 99%

Trends in hospitalization for paediatric flatfoot: an Italian nationwide study from 2001 to 2016

et al. 2022

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Background Flatfoot is a common condition in young patients, but usually resolves by adolescence. This study aimed to estimate annual trend hospitalizations for flatfoot in Italian paediatric population from 2001 to 2016. Methods Data of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health regarding the years of this paper (2001–2016). The yearly number of hospital admission for flatfoot, the percentage of males and females, the average age, the average days of hospitalization, primary diagnoses and primary procedures in the whole Italian population were calculated using descriptive statistical analyses. Results 109,300 hospitalizations for flatfoot of young patients were performed during this period. 59.3% of patients were male and 40.7% female of the 10–14 years-old age class. The average days of hospitalization stay were 1.73 ± 1.27 days. The data highlights that the burden of flatfoot surgery is growing and affecting the healthcare system. The mean rate of hospital admissions in Italy for flatfoot in the young population was 82.14 for 100,000 inhabitants of the same age class. Conclusions The data highlights that the cases of flatfoot surgery increased from 2001 to 2016. The most common treatment was the “Internal Fixation Of Bone Without Fracture Reduction, Tarsals And Metatarsals followed by Subtalar Fusion and Arthroereisis. Further prospective studies on this topic may be conducted to improve the evidence of the results.

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“…Radiographs can help, by demonstrating the extent of talocalcaneal divergence, incongruence of the talus head and horizontalization of the calcaneus [4] . The radiological assessment performed in charge load is the gold standard in the diagnosis of flat foot valgus [5] , [6] . On the x-ray of the front ankle standing with heel strapping, we assess the valgus of the hindfoot in load and the orientation of the tibial-talar space because sometimes the valgus is not sub-talar but tibial epiphyseal with ascension of the fibular malleolus.…”

Section: Discussionmentioning

confidence: 99%

Calcaneal lengthening osteotomy in the management of idiopathic flatfoot in children: cCase series of twenty-one feet

Zaidi

Msakni

Mohseni

et al. 2022

International Journal of Surgery Case Reports

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Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Cited by 32 publications

References 90 publications

Long-term clinical and radiological outcomes following surgical treatment for symptomatic pediatric flexible flat feet: a systematic review

Long-term clinical and radiological outcomes following surgical treatment for symptomatic pediatric flexible flat feet: a systematic review

Trends in hospitalization for paediatric flatfoot: an Italian nationwide study from 2001 to 2016

Calcaneal lengthening osteotomy in the management of idiopathic flatfoot in children: cCase series of twenty-one feet

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