Is subtalar extra articular screw arthroereisis (SESA) reducing pain and restoring medial longitudinal arch in children with flexible flat foot?

Elmarghany, Mohammed; El-Ghaffar, Tarek M. Abd; Elgeushy, Ahmed; Elzahed, Ehab; Hasanin, Yehia; Knörr, Jorge

doi:10.1016/j.jor.2020.01.038

Cited by 13 publications

(44 citation statements)

References 14 publications

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“…In line with the present study El Gazzar et al [7] sought to determine whether the subtalar extra-articular screw arthroereisis technique was helpful at treating children with FFF. The study enrolled 12 feet of eight children with FFF, the mean age was 10.5 years [5][6][7][8][9][10][11][12][13][14][15][16], five boys and three girls. Also, Elmarghany et al [8] sought to assess the subtalar extra-articular screw arthroereisis Regarding the Operative Data, we found that all surgeries were conducted uneventfully within a mean operative time for correction of the affected side of 16 ± 4.5 minutes [range, 13 -26 minutes].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, Zahid et al [10] reported that for SESA treatment Weight-bearing was permitted after two days and sports activity was permitted after three months without the need of a cast immobilisation. This result was supported by El Gazzar [7] who reported that the reatment resulted in a significant improvement in visual analog of pain scale postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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Subtalar Joint Arthroerisis in Management of Pediatric Flexible Flatfoot

Nada

Mohamed²,

Elsaid³

2023

International Journal of Medical Arts

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Article informationBackground: Flexible Flat Foot [FFF] in children is a frequent abnormality. Although its benign nature, sometimes a significant pain and discomfort is sufficient enough to consider surgery for alleviating symptoms. Subtalar arthroereisis is becoming more popular as a treatment for FFF symptoms. Aim of the work:To assess the feasibility of subtalar joint screw arthroereisis procedure in the treatment of FFF in children and assess its related outcomes. Patients and methods: This prospective interventional study, where a total of 10 patients [20 feet] presented with bilateral flexible flatfeet were enrolled in our study. Patients were treated with Subtalar joint Screw Arthroereisis. The American Orthopedic Foot & Ankle Society [AOFAS] score was employed to assess preoperative status and postoperative healing of ankle and hindfoot function. The three main components are pain, function, and alignment. Results: The mean preoperative AOFAS score was 52.5 ± 13.5 [range, 23 -75]. At 3-month and 6-month follow-up, the average AOFAS score was 85 ± 11.3 [range, 65 -95], and 87 ± 7.8 [range, 70 -96], respectively. Fourteen [70%] feet had good functional scores, and six [30%] feet had excellent scores. Conclusion: Subtalar joint screw arthroereisis technique was safe and effective in the treatment of flexible flatfoot in children. It was minimally invasive procedure associated with low operative time, good clinical and radiologic outcome and low complication rate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subtalar Joint Arthroerisis in Management of Pediatric Flexible Flatfoot

Nada

Mohamed²,

Elsaid³

2023

International Journal of Medical Arts

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“…An impact blocking device, the calcaneo-stop screw, and a self-locking device are the mainstream of SA implants in current practice ( 39 ). Memeo et al ( 40 ) compared exosinotarsal arthroereisis with calcaneo-stop screw and endosinotarsal arthroereisis with self-locking device in treating pediatric flexible flatfeet.…”

Section: Discussionmentioning

confidence: 99%

HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

Chen

Jiang

et al. 2022

Front. Pediatr.

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BackgroundThe high success rate, minimal invasion, and safety of subtalar arthroereisis (SA) have made it a primary mode of surgical management for pediatric flexible flatfoot. The HyProCure procedure is a new surgery for SA, However, very few available studies reported the therapeutic effects of the HyProCure procedure, especially in pediatric flexible flatfoot. The main aim of the present study was to investigate the clinical and radiological outcomes of the HyProCure procedure for pediatric flexible flatfoot and analyze the risk factors for therapeutic outcomes and sinus tarsi pain.MethodsIn this retrospective cohort study, 69 pediatric flexible flatfoot patients (107 feet) who underwent the HyProCure procedure were included between July 2015 and September 2020. All patients underwent the HyProCure procedure with or without gastrocnemius recession. The Maryland foot score (MFS), visual analog scale (VAS), radiographic data, and complications were assessed at a minimum 1-year follow-up and statistically analyzed.ResultsThe mean follow-up was 35.9 months (range, 13–73 months). At the last follow-up, VAS (0.64 ± 1.16) was significantly lower than the preoperative VAS (4.06 ± 1.43) (p < 0.001); MFS (90.39 ± 12.10) was significantly higher than the preoperative MFS (71.36 ± 10.25) (p < 0.001). The AP talar-second metatarsal angle (T2MT angle) significantly decreased from 17.0 ± 5.4° preoperatively to 11.4 ± 5.2° at the last follow-up (p < 0.001). The lateral talar-first metatarsal angle (Meary's angle) significantly decreased from 13.8 ± 6.4° preoperatively to 6.3 ± 5.0° at the last follow-up (p < 0.001). The calcaneal declination angle (Pitch angle) significantly increased from 13.5 ± 4.9° preoperatively to 14.8 ± 4.4° at the last follow-up (p < 0.001). Logistic regression analysis indicated that patients with a longer distance from the tail end of the implant exceeding the longitudinal talar bisection line had 275.8% greater odds of MFS < 90. Yet, no risk factors were found in connection with sinus tarsi pain.ConclusionsThe HyProCure procedure for pediatric flexible flatfoot achieved satisfactory curative effects with a low complication rate; implant depth was associated with unsatisfactory postoperative outcome.

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Section: Introductionmentioning

confidence: 99%

“…Asymptomatic cases are not an indication for treatment [1,2,[5][6][7][8]10,12,13,16,[18][19][20]22]. However, the deformity may cause foot pain, limping, asymmetric gait, pain in the ankle joint and leg, limitations in daily activities, gait inefficiency, and limited sport activity [1][2][3][4][5][6][7][8]12,13,16,20,22]. The lack of treatment of symptomatic pes planovalgus in pediatric patients may lead to the development of various musculoskeletal conditions in adulthood; these conditions include hallux valgus deformity, Morton's neuroma, and degenerative lesions in the foot and ankle joint [2,23].…”

Section: Introductionmentioning

confidence: 99%

Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children

Bobiński,

Tomczyk,

Pelc

et al. 2023

JCM

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Background: Pes planovalgus, or flexible flatfoot, deformity is a common problem in pediatric orthopedic patients. There is no consensus on using the technique of arthroereisis in the treatment of symptomatic pes planovalgus. The aim of our study was to prospectively assess the functional outcomes following symptomatic pes planovalgus treatment with the use of the Spherus talar screw. Methods: Twenty-seven patients (11 females, 16 males), at a mean age of 10.5 years (7–14 years) were included in the prospective study. We assessed the level of physical activity (including sports) based on the University of California, Los Angeles (UCLA) activity scale, a 10-point level-of-activity VAS scale, and the Grimby physical activity scale. Pain was assessed based on a VAS pain scale; foot function was assessed with the revised Foot Function Index (FFI-R); and ankle joint mobility was measured. Results: The mean follow-up period was 18 months (14–26 months). There was a significant improvement in VAS-measured physical activity scores from 5.47 to 7 at follow-up, p = 0.048. There was a significant improvement in UCLA activity scale scores from 4.78 to 6.05 at follow-up, p = 0.045. Pain levels decreased from a mean VAS score of 4.73 prior to surgery to a mean score of 2.73 at follow-up, p = 0.047. The functional FFI-R scores showed a significant improvement from 140 points prior to surgery to 97.75 points at follow-up, p = 0.017. Comparison of the preoperative and follow-up values of the range of plantar flexion, adduction, and abduction in the operated limb also showed no significant changes in those individual parameters. The mean values of dorsiflexion, plantar flexion, adduction, and abduction at the ankle joint at follow-up, compared individually between the operated and non-operated foot showed no statistically significant differences. Conclusions: The use of a talar screw in the treatment of symptomatic pes planovalgus helps reduce pain and improve functional outcomes after treatment. Foot function assessments showed diminished pain, improved levels of physical and sport activity, and no effect on the range of motion after surgery in comparison with preoperative data. Arthroereisis with a talar screw is a valid surgical technique for the treatment of symptomatic pes planovalgus.

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Is subtalar extra articular screw arthroereisis (SESA) reducing pain and restoring medial longitudinal arch in children with flexible flat foot?

Cited by 13 publications

References 14 publications

Subtalar Joint Arthroerisis in Management of Pediatric Flexible Flatfoot

Subtalar Joint Arthroerisis in Management of Pediatric Flexible Flatfoot

HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children

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