Pedobarographic outcome after subtalar screw arthroereisis in flexible juvenile flatfoot

Franz, Andrea; Herz, Daniel; Raabe, J.-J.; Seeberger, Ulrike; Bollmann, Christine

doi:10.1016/j.fas.2020.05.003

Cited by 13 publications

(28 citation statements)

References 29 publications

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“…The results of the Downs and Black criteria for the 24 studies are displayed in Table 3 . Three studies scored 11 out of 15 12 , 14 , 15 , six studies scored 12 out of 15 13 , 17 , 19 , 23 , 32 , 35 , 10 studies scored 13 out of 15 18 , 20 – 22 , 24 – 26 , 28 , 29 , 33 and five studies scored 14 out of 15. 16 , 27 , 30 , 31 , 34 Five studies failed to specify any exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

“… 12 , 13 , 23 , 26 , 29 Four studies failed to disclose sufficient detail of the surgical intervention so that an external group could repeat their methods. 14 , 17 , 19 , 35 …”

Section: Resultsmentioning

confidence: 99%

“…The 24 studies consist of five prospective case series, 23 , 25 , 28 , 30 , 33 13 retrospective case series, 12 , 13 , 15 , 16 , 18 , 20 – 22 , 26 , 27 , 29 , 31 , 32 , three prospective non-randomized comparative studies 14 , 17 , 35 and three retrospective non-randomized comparative studies. 19 , 24 , 34 A total of 2550 feet of at least 1399 patients were operated on (Memeo et al did not include number of participants, only the number of feet operated on).…”

Section: Resultsmentioning

confidence: 99%

“… 13 , 14 , 16 , 18 , 20 , 22 – 25 , 27 , 30 , 32 , 33 Richter et al included their treatment algorithm, based on the age of the patient, evidence of tibialis posterior insufficiency and the talo-1st metatarsal index, as described by Hamel et al 39 The age of patients ranged from 5 to 17 years, with a mean of 11.62 years. Six studies did not include details of patient gender, 12 , 14 , 17 , 23 , 34 , 35 but the remaining 18 studies included 915 males and 640 females.…”

Section: Resultsmentioning

confidence: 99%

“…There are two techniques for subtalar arthroereisis: (1) Insertion of an implant directly into the sinus tarsi to prevent it collapsing down. 12 – 24 (2) Screw insertion into the lateral side of either the talus 25 or calcaneus 17 , 19 , 26 – 35 while the foot is corrected to a neutral position; the screw head abuts the subtalar joint, preventing eversion. The implants are commonly made of metal or resorbable poly-L-lactic acid (PLLA).…”

Section: Introductionmentioning

confidence: 99%

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Subtalar arthroereisis for the treatment of the symptomatic paediatric flexible pes planus: a systematic review

et al. 2021

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Subtalar arthroereisis has a controversial history and has previously been associated with high failure rates and excessive complications. A database search for outcomes of arthroereisis for the treatment of symptomatic paediatric flexible pes planus provided 24 articles which were included in this review, with a total of 2550 feet operated on. Post-operative patient-reported outcome measures recorded marked improvement. Patient satisfaction was reported as excellent in 79.9%, and poor in 5.3%. All radiological measurements demonstrated improvement towards the normal range following arthroereisis, as did hindfoot valgus, supination, dorsiflexion and Viladot grade. Complications were reported in 7.1% of cases, with a reoperation rate of 3.1%. Arthroereisis as a treatment for symptomatic paediatric flexible pes planus produces favourable outcomes and high patient satisfaction rates with a reasonable risk profile. There is still a great deal of negativity and literature highlighting the complications and failures of arthroereisis, especially for older implants. The biggest flaws in the collective literature are the lack of high-quality prospective studies, a paucity of long-term data and the heterogeneity of utilized outcome measures between studies. Cite this article: EFORT Open Rev 2021;6:118-129. DOI: 10.1302/2058-5241.6.200076

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Section: Resultsmentioning

confidence: 99%

“… 12 , 13 , 23 , 26 , 29 Four studies failed to disclose sufficient detail of the surgical intervention so that an external group could repeat their methods. 14 , 17 , 19 , 35 …”

Section: Resultsmentioning

confidence: 99%