Subtalar extra-articular screw arthroereisis (SESA) for the treatment of flexible flatfoot in children

Pellegrin, Maurizio De; Moharamzadeh, Désirée; Strobl, Walter Michael; Biedermann, R.; Tschauner, Christian; Wirth, Thomas

doi:10.1007/s11832-014-0619-7

Cited by 88 publications

(93 citation statements)

References 38 publications

(53 reference statements)

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“…[56][57][58][59] A recent case series has also demonstrated the potential for maintenance of the foot in a corrected position even after subsequent implant removal. 60 One of the main concerns regarding this procedure is its high reported complication rate in 4% to 18% of cases in a recent literature review. 57 Frequently reported complications include malpositioning of the implant, improper correction of the deformity, extrusion of the implant from the sinus tarsi, foreign body reaction to the implant, peroneal spasm, and persistent foot pain.…”

Section: Symptomatic Flatfootmentioning

confidence: 99%

Pediatric Pes Planus: A State-of-the-Art Review

2016

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Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments. The available literature does not elucidate which patients are at risk for developing pain and disability as young adults. Current evidence suggests that it is safe and appropriate to simply observe an asymptomatic child with flat feet. Painful flexible flatfoot may benefit from orthopedic intervention, such as physical therapy, bracing, or even a surgical procedure. Orthotics, although generally unproven to alter the course of flexible flatfoot, may provide relief of pain when present. Surgical procedures include Achilles tendon lengthening, bone-cutting procedures that rearrange the alignment of the foot (osteotomies), fusion of joints (arthrodesis), or insertion of a silicone or metal cap into the sinus tarsi to establish a medial foot arch (arthroereisis). It is important for a general pediatrician to know when a referral to an orthopedic specialist is indicated and which treatments may be offered to the patient. Updated awareness of the current evidence regarding pediatric flatfoot helps the provider confidently and appropriately counsel patients and families.

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Section: Symptomatic Flatfootmentioning

confidence: 99%

Pediatric Pes Planus: A State-of-the-Art Review

2016

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“…Over the past many decades many different designs of implants and materials have evolved into three types of methods. Intra-osseous talotarsal stabilization (Figure 7A) involves the partial insertion of a screw type implant into either the floor of the sinus tarsi of the calcaneus (83,84), or partially into the lateral process of the talus (85). This method is a true joint blockingarthroereisis.…”

Section: Conservative Surgical Treatmentmentioning

confidence: 99%

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

Bresnahan

Juanto

2020

Front. Pediatr.

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Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options.Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures.Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options.

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“…Focus will be given to the works of Jerosch et al, 11 Pavone et al 10 and De Pellegrin et al, 12 given the similarity of the technique, which allows a fair comparison of results.…”

Section: Follow-up (Years)mentioning

confidence: 99%

“…Arthroereisis (calcaneo-stop procedure) consists of placing an implant within the sinus tarsi, limiting the mobility of the tarsus and preventing eversion of the subtalar joint. Although there are many short-term follow up studies reporting the efficacy of arthroereisis procedures, [8][9][10][11][12] long-term follow-up and comparative studies are lacking. 6 We aim to evaluate the long-term outcomes of the calcaneo-stop procedure in the treatment of flexible flatfoot in children, in one surgical centre.…”

Section: Introductionmentioning

confidence: 99%