Combined technique for surgical correction of pediatric severe flexible flatfoot

Cohen-Sobel, E; Giorgini, Renato; Velez, Zunilda

doi:10.1016/s1067-2516(09)80043-4

Cited by 33 publications

(18 citation statements)

References 15 publications

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“…7,17,24 Radiographic findings revealed improvement of all radiographic parameters except naviculocuneiform sag, 14 which could only be corrected in three of 15 feet. This indicates the importance of additional medial bony procedures (naviculocuneiform fusion) in feet with this deformity.…”

Section: Discussionmentioning

confidence: 94%

“…Because of reduced bone stock in young children, the ideal age for this surgical procedure is older than 6 years. 7 Recommended immobilization times range from 6 to 16 weeks. 5,8,12,18,21 In our patients, 4 weeks of nonweightbearing and 4 weeks of weightbearing in a cast did not appear to adversely affect the outcome.…”

Section: Discussionmentioning

confidence: 99%

“…20 The technique was first used to correct calcaneovalgus deformity of idiopathic or post polio origin. 12 The benefit of this procedure in patients with spastic disorders is subject to debate 7,12,19,21 Furthermore, there is disagreement about the ideal age for surgical correction. 1,9,10,12,17,18 The purpose of this study was to evaluate the outcome of calcaneal lengthening in severe pediatric flexible flatfoot deformities of spastic origin.…”

Section: Introductionmentioning

confidence: 99%

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Evans Calcaneal Lengthening Procedure for Spastic Flexible Flatfoot in 32 Patients (46 Feet) with a Followup of 3 to 9 Years

2006

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The Evans procedure is effective for the correction of severe, flexible flatfoot deformity in children with cerebral palsy in the short and mid term. Additional soft-tissue procedures frequently are required. However, correction of this multiplanar deformity predominantly occurs in the forefoot abduction component of the deformity, and the concomitant naviculocuneiform sag remains uncorrected. Despite successful outcomes, overcorrection and undercorrection remains a problem of clinical relevance.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evans Calcaneal Lengthening Procedure for Spastic Flexible Flatfoot in 32 Patients (46 Feet) with a Followup of 3 to 9 Years

2006

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“…6,7,[16][17][18]20 A variety of procedures are also advocated in combination with arthroereisis, which are indicated for other associated pathological conditions that can include gastrocnemius or gastrosoleus equinus, metatarsus adductus, forefoot varus, and naviculocuneiform faults. 18,[21][22][23] In our study, 14 (36%) of the patients had other associated procedures performed in conjunction with the arthroereisis. Previous studies have shown that the MBA subtalar arthroereisis corrects the calcaneal valgus deformity.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Painful Pediatric Flatfoot With Maxwell-Brancheau Subtalar Arthroereisis Implant A Retrospective Radiographic Review

Scharer

Black

Sockrider³

2010

Foot & Ankle Specialist

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The purposes of this study were to evaluate the outcome of pediatric patients who have undergone Maxwell-Brancheau arthroereisis (MBA) subtalar implants for the treatment of painful pediatric flatfoot deformities. In a retrospective study, 39 patients (68 feet) were evaluated clinically and radiographically. The mean age of the patients was 12 years (range, 6-16 years). The mean period of follow-up was 24 months (range, 6-61 months). Statistical evaluation was performed on all radiographic measurements. Additional surgical procedures (gastrocnemius recession, Achilles tendon lengthening, Kidner posterior tibial tendon advancement) were performed in 22 of 68 feet. There were 10 (15%) complications, which consisted of 10 reoperations in 10 feet. Implants were exchanged in 9 feet because of implant migration, undercorrection, and overcorrection. There was 1 reoperation (in 1 foot) for implant removal because of persistent sinus tarsi pain. Radiographic evaluation demonstrated an improvement of all parameters determined. The parameters that were evaluated include talonavicular joint coverage, as well as lateral and anterior-posterior talocalcaneal angles. There were significant changes noted in pre- and postoperative measurements (P < .001). The MBA implant is effective for the correction of painful, flexible flatfoot deformity in children in short-term follow-up. However, this is a multiplanar deformity, and additional procedures may be needed in addition to the MBA.

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“…The systematic search in the electronic databases resulted in 341 articles. After applying the eligibility criteria, eight studies were selected [13][14][15][16][17][18][19][20] ( Figure 1 years. Only three authors performed prospective studies 14,16,19 .…”

Section: Resultsmentioning

confidence: 99%

Osteotomia de alongamento da coluna lateral do calcâneo para tratamento do pé plano flexível sintomático de crianças e adolescentes: revisão sistemática.

Lima

Volpon

2018

Rev. Col. Bras. Cir.

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RESUMO O pé plano flexível é condição frequente na criança pequena e apresenta forte tendência para correção espontânea, ou tornar-se moderado ou leve no adulto, o que não causará problemas futuros. Entretanto, em uma pequena proporção de casos a deformidade é mais grave, não melhora, o que pode levar ao comprometimento do desempenho mecânico, deformidade e, eventualmente, dor. Nestes casos o tratamento cirúrgico deve ser considerado. O objetivo desta revisão sistemática foi avaliar os resultados da literatura no tratamento do pé plano flexível sintomático da criança ou adolescente por um procedimento bastante frequente que é a osteotomia de alongamento da coluna lateral do calcâneo. Foi realizada busca sistemática eletrônica nas bases de dados PubMed, Web of Science, Cochrane, CINAHL, SciELO, SCOPUS e LILACS por artigos publicados entre março de 1975 e setembro de 2016. Após aplicação dos critérios de elegibilidade, os artigos selecionados foram avaliados quanto aos resultados clínicos, radiográficos e complicações. Dos 341 artigos encontrados nas bases de dados, apenas oito estudos foram selecionados, segundo os critérios de inclusão e exclusão, com um total de 105 pacientes e 167 pés tratados. Somente três autores realizaram estudo prospectivo, mas sem caso controle ou aleatorização. A maioria das publicações no período avaliado é composta por estudos descritivos ou série de casos (nível de evidência III ou IV), com grandes variações metodológicas, mas com alto índice de satisfação dos pacientes e cirurgiões, em relação aos resultados. Entretanto, são necessárias pesquisas com desenho prospectivo, aleatorizado, grupo controle adequado e critérios de avaliação validados.

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Combined technique for surgical correction of pediatric severe flexible flatfoot

Cited by 33 publications

References 15 publications

Evans Calcaneal Lengthening Procedure for Spastic Flexible Flatfoot in 32 Patients (46 Feet) with a Followup of 3 to 9 Years

Evans Calcaneal Lengthening Procedure for Spastic Flexible Flatfoot in 32 Patients (46 Feet) with a Followup of 3 to 9 Years

Treatment of Painful Pediatric Flatfoot With Maxwell-Brancheau Subtalar Arthroereisis Implant A Retrospective Radiographic Review

Osteotomia de alongamento da coluna lateral do calcâneo para tratamento do pé plano flexível sintomático de crianças e adolescentes: revisão sistemática.

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