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

Abstract

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.

Perbedaan pengaruh Short Foot Exercise dan Towel Curl Exercise terhadap keseimbangan dinamis pada remaja Flat foot

“…Berdasarkan tabel 1 menunjukkan bahwa dari 32 responden (n), frekuensi distribusi usia tertinggi yaitu usia 13 tahun sebanyak sebanyak 20 siswa (62,5%). Hal ini sesuai dengan penelitian yang dilakukan oleh Longo et al (2022) yang menyatakan bahwa pada seseorang yang berusia dibawah 15 tahun yaitu usia 10-14 tahun masih adanya peningkatan seseorang mengalami kondisi flat foot. Sehingga dari penelitian ini dapat dilihat bahwa kondisi flat foot juga masih banyak dialami penderita usia remaja tidak hanya anak dengan usia yang lebih muda.…”

HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

“…Subtalar arthroereisis (SA), a minimally invasive procedure for flexible flatfoot, has been proven safe and to have satisfactory results with the advantage of rapid recovery and little influence on bone growth ( 11 – 21 ). Therefore, SA is gaining great popularity in the treatment of pediatric flexible flatfoot ( 9 , 10 , 22 , 23 ). Thereinto, the HyProCure device (GraMedica, Macomb, MI, USA), a new extraosseous talotarsal stabilization (EOTTS) device ( 24 ), is receiving growing attention in its clinical application.…”

Age in pediatric flexible flatfoot: what do we know?

“…In addition, no studies so far have reported the benefits of performing surgery on children below the age of 10 years. According to an Italian nationwide study conducted from 2001 to 2016, 86.3% of pediatric flatfoot patients treated by surgery were 10-14 years old, whereas only 13.7% were under 10 years of age [8]. Therefore, physicians and surgeons need to be cautious about performing surgery on children who are younger than 10 years, as they are likely to spontaneously develop a normal foot arch as they grow older.…”