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Published in: International Orthopaedics 3/2021

01-03-2021 | Original Paper

Long-term results of subtalar arthroereisis for the treatment of symptomatic flexible flatfoot in children: an average fifteen year follow-up study

Authors: Antonio Mazzotti, Alberto Di Martino, Giuseppe Geraci, Cinzia Casadei, Alessandro Panciera, Sandro Giannini, Cesare Faldini

Published in: International Orthopaedics | Issue 3/2021

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Abstract

Aim of the study

The aim of this study is to report the long-term outcomes of a homogenous series of patients who underwent subtalar arthroereisis (STA) for the treatment of symptomatic flexible flatfoot (FFF).

Methods

Thirty-four pediatric patients who underwent STA with a bioabsorbable implant were enrolled and radiographic measurements, clinical outcomes, and patients’ satisfaction were evaluated.

Results

At a mean 180 months follow-up, radiographic measurements showed significant improvement. A physiological footprint and a proper hindfoot alignment were shown in more than 70% of patients. Mean AOFAS score was 90.4 ± 9.2 (72–100), mean SF-12 was 44.7 with 30 out of 34 patients (88.2%) satisfied with the procedure.

Conclusion

STA with a bioabsorbable implant showed satisfactory long-term results. Based on the data subgroup analysis, nine to 11.5 years for female and nine to 13.5 years for male appeared to be the most appropriate age for surgery.
Literature
10.
go back to reference Vanderwilde R, Staheli LT, Chew DE, Malagon V (1988) Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am 70:407–415CrossRef Vanderwilde R, Staheli LT, Chew DE, Malagon V (1988) Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am 70:407–415CrossRef
11.
go back to reference Kaschak TJ, Laine W (1988) Surgical radiology. Clin Podiatr Med Surg 5:797–829PubMed Kaschak TJ, Laine W (1988) Surgical radiology. Clin Podiatr Med Surg 5:797–829PubMed
12.
go back to reference Benedetti MG, Berti L, Straudi S et al (2010) Clinicoradiographic assessment of flexible flatfoot in children. J Am Podiatr Med Assoc 100:463–471CrossRef Benedetti MG, Berti L, Straudi S et al (2010) Clinicoradiographic assessment of flexible flatfoot in children. J Am Podiatr Med Assoc 100:463–471CrossRef
13.
go back to reference Sangeorzan BJ, Mosca V, Hansen ST (1993) Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot. Foot Ankle 14:136–141CrossRef Sangeorzan BJ, Mosca V, Hansen ST (1993) Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot. Foot Ankle 14:136–141CrossRef
14.
go back to reference Viladot R, Richera R, Viladot A (1989) Quince Lecciones Sobre Patologia del Pied, Ediciones Toray. Ediciones Toray, Barcelona Viladot R, Richera R, Viladot A (1989) Quince Lecciones Sobre Patologia del Pied, Ediciones Toray. Ediciones Toray, Barcelona
21.
go back to reference Indino C, Villafañe JH, D’Ambrosi R et al (2018) Effectiveness of subtalar arthroereisis with endorthesis for pediatric flexible flat foot: a retrospective cross-sectional study with final follow up at skeletal maturity. Foot Ankle Surg Off J Eur Soc Foot Ankle Surg. https://doi.org/10.1016/j.fas.2018.12.002 Indino C, Villafañe JH, D’Ambrosi R et al (2018) Effectiveness of subtalar arthroereisis with endorthesis for pediatric flexible flat foot: a retrospective cross-sectional study with final follow up at skeletal maturity. Foot Ankle Surg Off J Eur Soc Foot Ankle Surg. https://​doi.​org/​10.​1016/​j.​fas.​2018.​12.​002
Metadata
Title
Long-term results of subtalar arthroereisis for the treatment of symptomatic flexible flatfoot in children: an average fifteen year follow-up study
Authors
Antonio Mazzotti
Alberto Di Martino
Giuseppe Geraci
Cinzia Casadei
Alessandro Panciera
Sandro Giannini
Cesare Faldini
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 3/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04911-4

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