Minimally Invasive Calcaneo-Stop Method for Idiopathic, Flexible Pes Planovalgus in Children

Roth, Sandor; Šestan, Branko; Tudor, Anton; Ostojić, Zdenko; Sasso, Anton; Durbesic, Artur

doi:10.3113/fai.2007.0991

Cited by 64 publications

(39 citation statements)

References 8 publications

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“…All patients included in this study have undergone the calcaneo-stop surgical procedure for anterograde screw implantation, which was previously described in detail in several papers [13][14][15][16]. Namely, in general or regional .…”

Section: Surgical Proceduresmentioning

confidence: 99%

Navicular index for differentiation of flatfoot from normal foot

Roth

Jotanović

et al. 2013

International Orthopaedics (SICOT)

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Purpose The height of navicular bone from the floor is in proportion with the height of longitudinal arch of the foot. The study was conducted to evaluate correlation of navicular bone height with most often used angles, heel valgus and a foot print in order to simplify the procedure for the diagnosis of flatfoot. Methods A total of 218 operated children (436 feet) because of flexible flatfoot were evaluated clinically and radiologically. Meary angle, lateral talonavicular angle, talocalcaneal angle, calcaneal pitch, heel valgus and arch index (Staheli) were evaluated pre-operatively and postoperatively. In 121 (242 feet) chosen children (age eight to 15) with all clinical values and pre-operative angles corresponding flatfoot, all postoperatively measured values were within the normal range. We got the navicular index by dividing length of longitudinal arch with navicular height. Values of navicular index were then compared with pre-operatively and postoperatively measured values. Pearson correlation and ROC test were used for statistical analysis. Results Values of the navicular index for flatfeet were in the interval from 4.75 to 31.2 (median 8.98), and for normalarched feet 3.58-22.6 (median 5.48). Pearson correlation of arch index and measured parameters were significant in majority, and degree according to Colton was good. Area under the ROC curve was 0.861 (p=0.0001). The cut-off value with 86 % sensitivity and 75 % specificity was 6.7407. Conclusion Navicular index can be used reliably, without measures of the other parameters, to differentiate flatfoot from normal-arched foot. Therefore, the navicular index has an ability to distinguish between the flatfoot and normalarched foot.

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Section: Surgical Proceduresmentioning

confidence: 99%

Navicular index for differentiation of flatfoot from normal foot

Roth

Jotanović

et al. 2013

International Orthopaedics (SICOT)

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“…Vedantam et al [23] reported the application of polyethylene tarsal sinus screw in 78 cases of flatfoot children, and the satisfaction rate was as high as 96%, and no degradation occurred in the implant. Roth et al [24] treated 48 cases of flatfoot children by using screw implantation in tarsal sinus for subtalar joint retardation with an excellent rate of 91.5% at 5 years follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Before surgery After surgery P Score 61 (58-64) 83 (75-92) <.001 The first metatarsal angle,°35 19 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) <.001 Meary angle,°20 0 (0-3) <.001…”

Section: Discussionmentioning

confidence: 99%

Comparison of mid-term efficacy of spastic flatfoot in ambulant children with cerebral palsy by 2 different methods

2018

Medicine

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To compare the treatment efficacy of spastic flatfoot surgery by 2 different surgical methods: nonfusion subtalar arthroereisis using subtalar joint stabilizer (SJS) and Dennyson-Fulford subtalar arthrodesis (D-FSA).A total of 26 cases of ambulant children with cerebral palsy diagnosed as spastic flatfoot were surgically treated from January 2011 to December 2014. Preoperative and postoperative American Orthopedic Foot and Ankle Society-Ankle and Hindfoot (AOFAS-AH) scores, anteroposterior-talocalcaneal angles (ATAs), and lateral talar-first metatarsal angles (Meary angles) of the affected foot were recorded.Among 12 children in the SJS group, the AOFAS-AH scores were median preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92), with significant difference (P < .05). Of the 20 feet treated, only 1 foot developed occasional pain. Postoperative ATA was decreased from preoperative 35°(20°-50°) to 19°(12°-25°); lateral X-ray films showed that the Meary angle was decreased from preoperative 20°(15°-40°) to postoperative 0°(0°-3°). The differences in both findings were statistically significant (P < .05). Fourteen children (22 treated feet) formed the D-FSA group; all demonstrated fusion of the talocalcaneal joint; AOFAS-AH scores were median preoperative score of 61 (58-64) versus median postoperative score of 83 (75-92), with significant difference (P < .05). Only 1 foot had occasional pain. Postoperative ATA was decreased from preoperative 35°(20°-45°) to 16°( 12°-25°); lateral X-ray films showed that the Meary angle was decreased from preoperative 19°(10°-40°) to postoperative 2°(0°-5°); the differences in both findings were statistically significant (P < .05).Both nonfusion subtalar arthroereisis using SJS and D-FSA were effective for the surgical treatment of spastic flatfoot, with similar clinical outcomes.

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“…It has been proposed that the screw's effect is not limited to mechanics, but proprioceptive alteration occurs, possibly accounting for contralateral improvement following surgery. 9,16,17 Many implants and operative techniques are currently used, and …”

Section: Discussionmentioning

confidence: 99%

“…Arthroereisis (calcaneo-stop procedure) consists of placing an implant within the sinus tarsi, limiting the mobility of the tarsus and preventing eversion of the subtalar joint. Although there are many short-term follow up studies reporting the efficacy of arthroereisis procedures, [8][9][10][11][12] long-term follow-up and comparative studies are lacking. 6 We aim to evaluate the long-term outcomes of the calcaneo-stop procedure in the treatment of flexible flatfoot in children, in one surgical centre.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study

Costa

Carvalho

et al. 2017

Acta Med Port

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Minimally Invasive Calcaneo-Stop Method for Idiopathic, Flexible Pes Planovalgus in Children

Abstract: The 'calcaneo-stop' method is a simple, effective, minimally invasive technique for the treatment of idiopathic, flexible pes planus in carefully selected pediatric patients.

Cited by 64 publications

References 8 publications

Navicular index for differentiation of flatfoot from normal foot

Navicular index for differentiation of flatfoot from normal foot

Comparison of mid-term efficacy of spastic flatfoot in ambulant children with cerebral palsy by 2 different methods

Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study

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