Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Vogt, B.; Toporowski, G.; Gosheger, G.; Rölfing, J.D.; Rosenbaum, D.; Schiedel, F.; Laufer, A.; Kleine-Koenig, M.T.; Theil, C.; Roedl, R.; et al. Subtalar Arthroereisis for Flexible Flatfoot in Children—Clinical, Radiographic and Pedobarographic Outcome Comparing Three Different Methods. Children 2021, 8, 359. [Google Scholar] [CrossRef]
- Faldini, C.; Mazzotti, A.; Panciera, A.; Perna, F.; Stefanini, N.; Giannini, S. Bioabsorbable implants for subtalar arthroereisis in pediatric flatfoot. Musculoskelet. Surg. 2018, 102, 11–19. [Google Scholar] [CrossRef] [PubMed]
- Kubo, H.; Lipp, C.; Hufeland, M.; Ruppert, M.; Westhoff, B.; Krauspe, R.; Pilge, H. Outcome after subtalar screw arthroereisis in children with flexible flatfoot depends on time of treatment: Midterm results of 95 cases. J. Orthop. Sci. 2020, 25, 497–502. [Google Scholar] [CrossRef] [PubMed]
- Vescio, A.; Testa, G.; Amico, M.; Lizzio, C.; Sapienza, M.; Pavone, P.; Pavone, V. Arthroereisis in juvenile flexible flatfoot: Which device should we implant? A systematic review of literature published in the last 5 years. World J. Orthop. 2021, 12, 433–444. [Google Scholar] [CrossRef]
- Martinelli, N.; Bianchi, A.; Martinkevich, P.; Sartorelli, E.; Romeo, G.; Bonifacini, C.; Malerba, F. Return to sport activities after subtalar arthroereisis for correction of pediatric flexible flatfoot. J. Pediatr. Orthop. B 2018, 27, 82–87. [Google Scholar] [CrossRef]
- Ruiz-Picazo, D.; Jiménez-Ortega, P.; Doñate-Pérez, F.; Gaspar-Aparicio, N.; García-Martín, V.; Ramírez-Villaescusa, J.; Losa-Palacios, S. Radiographic and Functional Results following Subtalar Arthroereisis in Pediatric Flexible Flatfoot. Adv. Orthop. 2019, 2019, 5061934. [Google Scholar] [CrossRef] [PubMed]
- Hong, J.; Dai, G.; Weng, Q.; Liu, Y. Interference Screw for the Treatment of Pediatric Flexible Flatfoot. J. Foot Ankle Surg. 2020, 59, 1209–1214. [Google Scholar] [CrossRef]
- Elmarghany, M.; El-Ghaffar, T.M.A.; Elgeushy, A.; Elzahed, E.; Hasanin, Y.; Knörr, J. Is subtalar extra articular screw arthroereisis (SESA) reducing pain and restoring medial longitudinal arch in children with flexible flat foot? J. Orthop. 2020, 20, 147–153. [Google Scholar] [CrossRef] [PubMed]
- Elbarbary, H.M.; Arafa, A.S.; Said, A.B.Z.; Hegaz, M.; Reiad, M.W.; Basha, N.Y.; Fahmy, M. Clinical and Radiological Outcomes of Subtalar Arthroereisis for Management of Planovalgus Foot in Children With Cerebral Palsy: 3-Year Follow-up. Foot Ankle Spec. 2022, 15, 536–544. [Google Scholar] [CrossRef]
- Tan, J.H.I.; Tan, S.H.S.; Lim, A.K.S.; Hui, J.H. The outcomes of subtalar arthroereisis in pes planus: A systemic review and meta-analysis. Arch. Orthop. Trauma. Surg. 2021, 141, 761–773. [Google Scholar] [CrossRef]
- Franz, A.; Herz, D.; Raabe, J.; Seeberger, U.; Bollmann, C. Pedobarographic outcome after subtalar screw arthroereisis in flexible juvenile flatfoot. Foot Ankle Surg. 2021, 27, 389–394. [Google Scholar] [CrossRef] [PubMed]
- Memeo, A.; Verdoni, F.; Rossi, L.; Ferrari, E.; Panuccio, E.; Pedretti, L. Flexible Juvenile Flat Foot Surgical Correction: A Comparison Between Two Techniques After Ten Years’ Experience. J. Foot Ankle Surg. 2019, 58, 203–207. [Google Scholar] [CrossRef]
- Fernández de Retana, P.; Alvarez, F.; Viladot, R. Subtalar arthroereisis in pediatric flatfoot reconstruction. Foot Ankle Clin. 2010, 15, 323–335. [Google Scholar] [CrossRef] [PubMed]
- Wang, S.; Chen, L.; Yu, J.; Zhang, C.; Huang, J.-Z.; Wang, X.; Ma, X. Mid-term Results of Subtalar Arthroereisis with Talar-Fit Implant in Pediatric Flexible Flatfoot and Identifying the Effects of Adjunctive Procedures and Risk Factors for Sinus Tarsi Pain. Orthop. Surg. 2021, 13, 175–184. [Google Scholar] [CrossRef] [PubMed]
- Arbab, D.; Frank, D.; Bouillon, B.; Lüring, C.; Wingenfeld, C.; Abbara-Czardybon, M. Subtalare Screw Arthroereisis for the Treatment of Symptomatic, Flexible Pes Planovalgus. Z. Orthop. Unfall. 2018, 156, 93–99. [Google Scholar] [CrossRef] [PubMed]
- Jerosch, J.; Schunck, J.; Abdel-Aziz, H. The stop screw technique—A simple and reliable method in treating flexible flatfoot in children. Foot Ankle Surg. 2009, 15, 174–178. [Google Scholar] [CrossRef] [PubMed]
- Leonchuk, S.S.; Dyachkov, K.; Neretin, A.S.; Blanchard, A.J.; Popkov, D. Subtalar arthroereisis for treatment of children with flexible planovalgus foot deformity and analysis of CT data in long-term period. J. Orthop. 2020, 22, 478–484. [Google Scholar] [CrossRef]
- de Bot, R.T.A.L.; Stevens, J.; Hermus, J.P.S.; Staal, H.M.; van Rhijn, L.W.; Witlox, A.M. Clinical and Radiological Outcomes of Subtalar Kalix II Arthroereisis for a Symptomatic Pediatric Flexible Flatfoot. Foot Ankle Spec. 2021, 14, 9–18. [Google Scholar] [CrossRef]
- Hagen, L.; Pape, J.P.; Kostakev, M.; Peterlein, C.D. Pedobarographic changes during first month after subtalar extra-articular screw arthroereisis (SESA) operation of juvenile flexible flatfoot. Arch. Orthop. Trauma. Surg. 2020, 140, 313–320. [Google Scholar] [CrossRef]
- Bernasconi, A.; Lintz, F.; Sadile, F. The role of arthroereisis of the subtalar joint for flatfoot in children and adults. EFORT Open Rev. 2017, 2, 438–446. [Google Scholar] [CrossRef] [PubMed]
- De Pellegrin, M. Subtalar screw-arthroereisis for correction of flat foot in children. Orthopade 2005, 34, 941–953. [Google Scholar] [CrossRef]
- Bobiński, A.; Tomczyk, Ł.; Reichert, P.; Morasiewicz, P. Short-Term and Medium-Term Radiological and Clinical Assessment of Patients with Symptomatic Flexible Flatfoot Following Subtalar Arthroereisis with Spherus Screw. J. Clin. Med. 2023, 12, 5038. [Google Scholar] [CrossRef]
- Polichetti, C.; Borruto, M.I.; Lauriero, F.; Caravelli, S.; Mosca, M.; Maccauro, G.; Greco, T.; Perisano, C. Adult Acquired Flatfoot Deformity: A Narrative Review about Imaging Findings. Diagnostics 2023, 13, 225. [Google Scholar] [CrossRef] [PubMed]
- Amstutz, H.; Thomas, B.; Jinnah, R.; Kim, W.; Grogan, T.; Yale, C. Treatment of primary osteoarthritis of the hip. A comparison of total joint and surface replacement arthroplasty. J. Bone Joint Surg. Am. 1984, 66, 228–241. [Google Scholar] [PubMed]
- Zahiri, C.; Schmalzried, T.; Szuszczewicz, E.; Amstutz, H. Assessing Activity in Joint Replacement Patients. J. Arthroplast. 1998, 13, 890–895. [Google Scholar] [CrossRef] [PubMed]
- Grimby, G, Physical activity; muscle training in the elderly. Acta Medica Scand. Suppl. 1986, 711, 233–237. [CrossRef]
- Stéfani, K.C.; Pereira Filho, M.V.; Oliveira, P.R.; Wun, P.Y.L. Translation, Cultural Adaptation and Validation of the Foot Function Index—Revised (FFI-R). Acta Ortop. Bras. 2017, 25, 188–193. [Google Scholar] [CrossRef]
Analyzed Variable | Before Treatment | After Treatment | p Value * |
---|---|---|---|
(Mean ± Standard Deviation) | |||
UCLA scale | 4.78 ± 2.25 | 6.05 ± 1.61 | 0.045 |
Gimbry scale | 3.26 ± 1.59 | 3.94 ± 1.17 | 0.14 |
VAS Activity Scale | 5.47 ± 2.89 | 7 ± 2.05 | 0.048 |
VAS pain scale | 4.73 ± 3.51 | 2.73 ± 3.28 | 0.047 |
FFI-R scale | 140 ± 61.28 | 97.75 ± 28.53 | 0.017 |
Dorsiflexion OL [degree] | 22 ± 8.44 | 25.33 ± 6.77 | 0.316 |
Plantar flexion OL [degree] | 30.7 ± 9.21 | 32.91 ± 11.22 | 0.623 |
adduction OL [degree] | 21.9 ± 9.74 | 23.5 ± 7.46 | 0.667 |
abduction OL [degree] | 18.6 ± 9.92 | 17.83 ± 6.72 | 0.831 |
Dorsiflexion NOL [degree] | 36.25 ± 8.53 | 29 ± 13.41 | 0.381 |
Plantar flexion NOL [degree] | 37 ± 14.58 | 49 ± 19.49 | 0.342 |
adduction NOL [degree] | 28.5 ± 6.24 | 25 ± 3.53 | 0.32 |
abduction NOL [degree] | 28.5 ± 12.61 | 22 ± 10.36 | 0.422 |
Analyzed Variable | (Mean ± Standard Deviation) | p Value | |
---|---|---|---|
before treatment | |||
OL | NOL | ||
Dorsiflexion [degree] | 22 ± 8.44 | 36.25 ± 8.53 | 0.047 |
plantar flexion [degree] | 30.7 ± 9.21 | 37 ± 14.58 | 0.343 |
abduction [degree] | 18.6 ± 9.92 | 28.5 ± 12.61 | 0.142 |
adduction [degree] | 21.9 ± 9.74 | 28.5 ± 6.24 | 0.238 |
after treatment | |||
OL | NOL | ||
Dorsiflexion [degree] | 25.33 ± 6.77 | 29 ± 13.41 | 0.457 |
plantar flexion [degree] | 32.91 ± 11.22 | 49 ± 19.49 | 0.086 |
abduction [degree] | 17.83 ± 6.72 | 22 ± 10.36 | 0.335 |
adduction [degree] | 23.5 ± 7.46 | 25 ± 3.53 | 0.677 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Bobiński, A.; Tomczyk, Ł.; Pelc, M.; Chruścicki, D.A.; Śnietka, B.; Morasiewicz, P. Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children. J. Clin. Med. 2023, 12, 7475. https://doi.org/10.3390/jcm12237475
Bobiński A, Tomczyk Ł, Pelc M, Chruścicki DA, Śnietka B, Morasiewicz P. Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children. Journal of Clinical Medicine. 2023; 12(23):7475. https://doi.org/10.3390/jcm12237475
Chicago/Turabian StyleBobiński, Andrzej, Łukasz Tomczyk, Marcin Pelc, Damian Aleksander Chruścicki, Bartosz Śnietka, and Piotr Morasiewicz. 2023. "Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children" Journal of Clinical Medicine 12, no. 23: 7475. https://doi.org/10.3390/jcm12237475