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.

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2024-06-27 DOI:10.1016/j.fas.2024.06.004

Giacomo Moraca, Nicolò Martinelli, Alberto Bianchi, Giuseppe Filardo, Valerio Sansone

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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.

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对有症状的灵活扁平足儿童患者而言，使用金属植入物进行踝关节置换术是一种安全有效的治疗方法。10年临床和放射学随访。

背景：对于保守治疗无效的柔性扁平足（FFF），踝关节置换术（SA）是一种应用日益广泛的微创方法。本研究旨在评估SA对有症状的儿童扁平足患者的长期临床和影像学疗效：37名患者（11.9±1.6yy）接受了SA手术（74只脚），平均随访10年后对结果进行评估。结果：术后临床疗效极佳：临床结果：术后效果极佳（FFI：9.1，AOFAS：94.5），NRS 疼痛低至 0.9（P 结论：术后疼痛轻微：使用金属趾跖内固定器进行SA治疗可显著改善长期临床和影像学效果，并发症发生率低，患者满意度高，支持其作为治疗小儿无症状FFF的有效方法：证据等级：IV。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.

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