Arthroereisis for Symptomatic Flexible Flatfoot Deformity in Young Children: Radiological Assessment and Short-Term Follow-Up

Megremis, Panos; Megremis, Orestis

doi:10.1053/j.jfas.2019.01.012

Cited by 22 publications

(25 citation statements)

References 21 publications

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“…After performing the surgery, all AOFAS scores were improved, with these results being similar to Megremis’ study [ 48 ]. Regarding the correction of the angles, their values were improved and associated with a higher quality of life, excepting calcaneal pitch.…”

Section: Discussionsupporting

confidence: 86%

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

2022

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Flexible flatfoot represents one of the most common deformities of the lower limb, affecting children and adolescents. Aesthetic aspect, abnormal gait, pain and fatigue are by far the most important symptoms which determine parents to bring their children to the orthopedist. We set out to conduct a prospective study, case-controlled, including patients with symptomatic flexible flatfeet operated on by arthroereisis surgery and comparing them to a normal feet group of children age- and sex-matched (control group). Minimum follow-up time was 2 years. In total, 33 patients with bilateral arthroereisis were included and 36 patients formed the control group (12.12 +/− 1.85 years vs. 11.81 ± 2.40 years, p = 0.54). Quality of life improved postoperatively (p = 0.18) and was not different from the control group. Median running time improved postoperatively by 2.25 s (p < 0.0001) and got closer to the median running time from the control group (22.30 s compared to 20.94 s, p = 0.01). All radiological angles improved (p < 0.0001), but quality of life improvement was correlated with talonavicular coverage angle and Meary angle measurements. Flatfoot in children and adolescents may be a condition in which the quality of life and sports performance are decreased, compared to healthy children. Arthroereisis is a minimally invasive surgical procedure with a short recovery time and a short period before resumption of sport activities, which can be useful in certain types of flexible flatfoot due to its effectiveness on symptom reduction.

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Section: Discussionsupporting

confidence: 86%

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

2022

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“…In terms of the patient population, 6 studies performed with endosinotarsal cone shaped implant [20][21][22][23] , 5 studies performed with exosinotarsal screw [24][25][26][27][28][29] , while one study performed with both surgeries were divided into two groups 1 .…”

Section: Resultsmentioning

confidence: 99%

Endosinotarsal device exerts a better postoperative correction in Meary’s angle than exosinotarsal screw from a meta-analysis in pediatric flatfoot

Hsieh

Lee

Tseng

et al. 2020

Sci Rep

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reviewed for relevant reference. Literature not written in English, not available in full text, adult patients, focus on gait analysis, review articles, patients with neuromuscular diseases, case reports, or techniques except exosinotarsal subtalar screw in calcaneus or endosinotarsal cone-shaped implant were excluded. We investigated studies using endosinotarsal tunnel subtalar arthroereisis for pediatric flexible flatfoot treatment. The search strategy comprised the following keywords combined with subtalar arthroereisis: flexible flatfoot and pes planus. Regarding the types of included studies, we enrolled randomized controlled trials (RCTs), comparative experimental trials, or single-armed follow up studies. We excluded case series and case reports. The target population comprised pediatric patients who suffered from painful flexible flatfoot.

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“…The most interesting finding of this study was related to the progressive rising trend in operative management for acquired flatfoot. The most frequent surgery performed is arthroereisis of the subtalar joint [ 39 , 40 ], which is minimally invasive and carries low surgical risks [ 41 , 42 ]. This data could probably constitute the most important outlier of the study.…”

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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Arthroereisis for Symptomatic Flexible Flatfoot Deformity in Young Children: Radiological Assessment and Short-Term Follow-Up

Cited by 22 publications

References 21 publications

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

Endosinotarsal device exerts a better postoperative correction in Meary’s angle than exosinotarsal screw from a meta-analysis in pediatric flatfoot

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

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