Your browser doesn't support javascript.
loading
Four-Year Treatment Effect of Custom-Made Foot Orthosis on Pediatric Symptomatic Accessory Navicular Bone Combined with Flexible Flatfoot.
Shu, Wen; Jiang, Guoyong; Yang, Zimo; Rong, Zhao; Li, Xiangrui; Yu, Bin; Tang, Xin.
Affiliation
  • Shu W; Department of Orthopaedic, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • Jiang G; Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.
  • Yang Z; Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.
  • Rong Z; Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.
  • Li X; Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.
  • Yu B; Department of Orthopaedic, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • Tang X; Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 China.
Indian J Orthop ; 58(8): 1159-1165, 2024 Aug.
Article in En | MEDLINE | ID: mdl-39087034
ABSTRACT

Purpose:

Congenital accessory navicular bone (ANB) is a common variant in the foot and is prone to cause several clinical symptoms. Wearing custom-made foot orthosis is considered a desirable option; however, there is limited evidence of its effectiveness. This study aims to report the mid-term effect of foot orthosis for symptomatic pediatric ANBs.

Methods:

School-age children with symptomatic ANBs combined with flexible flatfoot in the authors' institute were recruited and got custom-made foot orthosis treatment. They were followed up over 4 years. The general characteristics of these children were collected before treatment, including age, gender, and body mass index (BMI). The indicators of foot symptoms, including frequency and location of pain, visual analogue scale (VAS), arch index (AI), and hind foot valgus angle (HVA), were measured during pretreatment and at the last follow-up.

Results:

Twenty-seven children were recruited for this study. After 4 years of custom-made foot orthosis treatment, significant improvements showed in pain frequency, VAS, AI, and HVA (P < 0.001). Type II ANBs showed a higher pain index pretreatment (P < 0.001) and reduced after treatment (P < 0.001).

Conclusion:

Mid-term effect of custom-made foot orthosis is inspiring in clinical symptoms of pediatric congenital ANBs combined with flexible flatfoot and may be an optional nonoperative treatment. Supplementary Information The online version contains supplementary material available at 10.1007/s43465-024-01210-7.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Indian J Orthop Year: 2024 Document type: Article Affiliation country: China

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Indian J Orthop Year: 2024 Document type: Article Affiliation country: China