The arthroereisis procedure in adult flexible flatfoot grade IIA due to insufficiency of posterior tibial tendon

Ceccarini, Paolo; Rinonapoli, Giuseppe; Gambaracci, Giulio; Bisaccia, Michele; Ceccarini, Alfredo; Caraffa, Auro

doi:10.1016/j.fas.2017.04.003

Cited by 18 publications

(18 citation statements)

References 22 publications

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“…The initial literature search resulted in 270 articles being found. Following application of inclusion and exclusion criteria (Figure 1), 9 studies were found to be suitable 16-24 (Table 3), and the bias assessment for all studies is shown in Table 5. In total 167 patients underwent 190 arthroereisis procedures.…”

Section: Resultsmentioning

confidence: 99%

“…One paper 17 used the VAS-FA: preoperatively the average score was 61.6 (range, 35-86); again there was significant improvement ( P < .0001) postoperatively to 83 (range, 64-100) at a median follow-up of 34.1 months. One paper 22 used the SF 36 as a postoperative measure (average 75.4) at an average final follow-up of 4.47 years (3.26-5.52 years); however, no preoperative score was available for comparison.…”

Section: Resultsmentioning

confidence: 99%

“…The radiological measurements used in the 9 studies included Meary’s angle, TN, T1MT, and Kite angle. Six studies 16,17,19,20,23,24 used Meary’s angle to assess radiological improvement. The mean preoperative angle was −1.1, and this improved to 1.9 postoperatively.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, 2 studies reported postoperative improvement with P values of <.01 24 and .0001 19 : one study reported a tendency toward a normal TN (defined as being less than 7°) compared to a control group with a P value of <.01, 22 and one study reported no significant improvement with a P value >.05. 17 One study 22 stated when, postoperatively, radiographs were taken (mean of 2.38 years). Two studies 17,22 used T1MT with preoperative average of 15.6 and postoperative average of 7.1.…”

Section: Resultsmentioning

confidence: 99%

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Outcomes Following the Use of Subtalar Arthroereisis in the Correction of Adult Acquired Flatfoot: A Systematic Review

Baryeh

Ismail

Sobti

et al. 2021

Foot & Ankle Specialist

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Background Adult acquired flatfoot deformity (AAFD) is a condition affecting approximately 3% of the adult population. It can lead to severe morbidity, and therefore, prompt treatment is of the upmost importance in maintaining and restoring function. Recently, the use of subtalar arthroereisis has become more widespread in the treatment of AAFD. The purpose of this systematic review is to examine the clinical and radiological outcomes of AAFD when treated with subtalar arthroereisis. Methods Studies involving the use of subtalar arthroereisis for the management of AAFD were reviewed, and appropriate studies selected based on inclusion and exclusion criteria. Studies were reviewed for both clinical and radiological outcomes following the use of subtalar arthroereisis as well as reported complications. Results Nine studies met our inclusion criteria, with most of these involving stage II AAFD. A total of 190 subtalar arthroereisis procedures were performed with all studies demonstrating improvement in both clinical and radiological scores with a low rate of complications. Conclusion Subtalar arthroereisis may have benefits when used as an adjunct to treat stage II AAFD. However, more high-quality studies are needed to establish its best use. Levels of Evidence: Level IV: Systematic review

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes Following the Use of Subtalar Arthroereisis in the Correction of Adult Acquired Flatfoot: A Systematic Review

Baryeh

Ismail

Sobti

et al. 2021

Foot & Ankle Specialist

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“…Failure of conservative therapy using physiotherapy, orthotic insole, and shoe fitting is an indication for surgical intervention. For mild deformities, especially in younger adults, joint-preserving osteotomies and soft-tissue balancing reconstructive procedures are used [8,9]. Stage III, according to Johnson and Strom, describes a longitudinal or transverse rupture of the posterior tibial tendon on magnetic resonance imaging (MRI) with fixed deformity in addition to the above symptoms [10,11].…”

Section: Introductionmentioning

confidence: 99%

Adult-Acquired Flatfoot Deformity: Combined Talonavicular Arthrodesis and Calcaneal Displacement Osteotomy versus Double Arthrodesis

Fischer

Oepping

Altmeppen

et al. 2022

JCM

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Background: Adult-acquired flatfoot deformity due to posterior tibial tendon dysfunction (PTTD) is one of the most common foot deformities among adults. Hypothesis: Our study aimed to confirm that the combined procedures of calcaneal displacement osteotomy and talonavicular arthrodesis are equivalent to double arthrodesis. Methods: Between 2016 and 2020, 41 patients (13 male and 28 females, mean age of 63 years) were retrospectively enrolled in the comparative study. All deformities were classified into Stages II and III of PTTD, according to Johnson and Strom. All patients underwent isolated bony realignment of the deformity: group A (n = 19) underwent calcaneal displacement osteotomy and talonavicular arthrodesis, and group B (n = 23) underwent double arthrodesis. Measurements from the Foot Function Index-D (FFI-D) and the SF-12 questionnaire were collected, with a comparison of pre- and post-operative radiographs conducted. The mean follow-up period for patients was 3.4 years. Results: The mean FFI-D was 33.9 (group A: 34.5; group B: 33.5), the mean SF-12 physical component summary was 43.13 (group A: 40.9; group B: 44.9), and the mean SF-12 mental component summary was 43.13 (group A: 40.9; group B: 44.9). The clinical data and corrected angles showed no significant intergroup differences. Conclusion: Based on the available data, our study confirmed that the combined procedures of talonavicular arthrodesis and calcaneal shift, with preservation of the subtalar joint, can be considered equivalent to the established double arthrodesis, with no significant differences in terms of clinical and radiological outcomes.

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Minimal-invasive Komponenten der Therapie der Tibialis-posterior-Insuffizienz des Erwachsenen

et al. 2020

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The arthroereisis procedure in adult flexible flatfoot grade IIA due to insufficiency of posterior tibial tendon

Cited by 18 publications

References 22 publications

Outcomes Following the Use of Subtalar Arthroereisis in the Correction of Adult Acquired Flatfoot: A Systematic Review

Outcomes Following the Use of Subtalar Arthroereisis in the Correction of Adult Acquired Flatfoot: A Systematic Review

Adult-Acquired Flatfoot Deformity: Combined Talonavicular Arthrodesis and Calcaneal Displacement Osteotomy versus Double Arthrodesis

Minimal-invasive Komponenten der Therapie der Tibialis-posterior-Insuffizienz des Erwachsenen

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