Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up.
Foot Ankle Surg
; 2024 Jun 27.
Article
in En
| MEDLINE
| ID: mdl-38972783
ABSTRACT
BACKGROUND:
Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF.METHODS:
Thirty-seven patients (11.9 ± 1.6yy) underwent SA (74 feet), with outcomes assessed after a mean 10-year follow-up. Pain, quality of life, foot functionality, and alignment were evaluated using validated tools and radiographic parameters, calculated on weightbearing x-rays pre- and post-operatively.RESULTS:
Clinical outcomes reached excellent postoperative results (FFI 9.1, AOFAS 94.5) with a low 0.9 NRS pain (p < 0.01) and a 92 % satisfaction. All radiographic parameters improved significantly towards normal values CP 17.5 ± 3.9, MA 4.3 ± 5.8, TCA 42.8 ± 6.2, TNCA 21.1 ± 8.5, TNU% 26.6 ± 8.4 (all p < 0.01).CONCLUSIONS:
SA with a metallic endosinotarsal device provided significant long-term clinical and radiographic improvements, with low complication rates and high patient satisfaction, supporting its efficacy as a treatment option for pediatric symptomatic FFF. LEVEL OF EVIDENCE IV.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Foot Ankle Surg
Journal subject:
ORTOPEDIA
Year:
2024
Document type:
Article
Publication country:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA