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arthroereisis in juvenile flexible flatfoot:Which device should we implant?A systematic review of literature published in the last 5 years

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World Journal of Orthopedics 2021年第6期12卷 433-444页

作者： Andrea Vescio Gianluca Testa Mirko Amico Claudio Lizzio Marco Sapienza Piero Pavone Vito Pavone Department of General Surgery and Medical Surgical Specialties Section of Orthopedics and TraumatologyUniversity Hospital Policlinico-San MarcoUniversity of CataniaCatania 95123Italy Department of Clinical and Experimental Medicine Section of Pediatrics and Child NeuropsychiatryUniversity of CataniaCatania 95123Italy

BACKGROUND Flexible flatfoot(FFF)is a very common condition in children,characterized by the loss of the medial arch and by an increase in the support base with valgus of the ***(AR)procedures are widely performed corrective surgeries and are classified as subtalar AR and calcaneo-stop(CS).AIM We investigated the literature published in the last 5 years with the aim of providing an update on the evidence related to AR treatment in FFF *** report the principal findings of subtalar AR and CS procedures concerning clinical and radiological outcomes and complication rates in the general population,young athletes,and obese people according to material *** Following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses,a systematic review of studies published in the past 5 years and included the PubMed and Science Direct databases was performed on May 6,*** research string used was(pediatric OR children OR Juvenile NOT adult)AND(flexible NOT rigid)AND(flat foot OR pes planus)AND(calcaneo-Stop OR arthroereisis OR subtalar extra-articular screw OR SESA OR subtalar arthroereisis OR endosinotarsal).The risk of bias assessment was performed using the Dutch checklist form for *** A total of 47 articles were ***,after reading the full text and checking reference lists,we selected 17 articles that met the inclusion and exclusion criteria.A total of 1864 FFFs were *** studies concerned the subtalar AR(47.1%)and nine concerning CS(52.9%).The average age of patients at start of treatment was 11.8 years,the average follow-up of the studies was 71.9 mo(range 29.1-130).Globally,complications occurred in 153 of the 1864 FFF treated,with a rate of 8.2%.CONCLUSION Both AR procedures are valid surgical techniques for treating *** experience,implant cost,and cosmetic correction are the most common considerations included in the orthopedic device decision-making proce

关键词： Pes planus arthroereisis Treatment Calcaneo-stop Subtalar arthroereisis Complication

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Pediatric flexible flatfoot: Does obesity influence the outcomes of arthroereisis?

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World Journal of Orthopedics 2024年第9期15卷 850-857页

作者： Luca Monestier Giacomo Riva Mahfuz Latiff Luca Marciandi Elisa Bozzi Alessandra Pelozzi Andrea Pautasso Giorgio Pilato Michele Francesco Surace Fabio D'Angelo Division of Orthopedics and Traumatology ASST Sette LaghiVarese 21100LombardyItaly Residency Program in Orthopedics and Trauma Department of Biotechnologies and Life SciencesUniversity of InsubriaVarese 21100LombardyItaly Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System Department of Biotechnology and Life SciencesUniversity of InsubriaVarese 21100LombardyItaly Division of Orthopedics and Traumatology Ospedale di CittiglioASST Sette LaghiVarese 21100LombardyItaly

BACKGROUND Childhood obesity has emerged in the last decades as an important public health problem *** relationships between obesity and flatfoot have been shown,no studies have investigated the influence of obesity on arthroereisis *** To evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking *** This retrospective study included one hundred and sixty-nine pediatric patients(10-14 years old)who underwent subtalar arthroereisis(PEEK PitStop®device)for severe flexible *** criteria were additional procedures,revision of previous corrective surgeries,rigid flatfoot with severe deformity,and neurologi-cal or post-traumatic ***/postoperative European Foot and Ankle Society(EFAS)and visual analogue scale(VAS)scores were determined;radiographic assessment was conducted on weight-bearing foot X-rays:Kite angle,first metatarsal-talus angle,Meary angle,calcaneal pitch angle and lateral talo-calcaneal angle were *** EFAS and VAS scores improved post-operatively in the whole *** seven cases with complications were *** assessment revealed an improvement in all *** analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes:Relationships were reported between BMI and postoperative EFAS/VAS scores,postoperative calcaneal pitch angle,Kite angle,Meary angle and talo-first meta-tarsal *** Although arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children,obesity significantly influences clinical and radiographic outcomes of arthroereisis,and obese children tend to perceive more pain and discomfort.

关键词： Pediatric flatfoot Obesity Subtalar arthroereisis Outcomes

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How to approach the pediatric flatfoot

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World Journal of Orthopedics 2016年第1期7卷 1-7页

作者： Ettore Vulcano Camilla Maccario Mark S Myerson Institute for Foot and Ankle Reconstruction at Mercy Medical Center

The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery,when it is necessary, and what procedure to be done.A thorough history, clinical examination, and imaging should be performed to guide the surgeon through an often complex treatment path. Surgical technique can be divided in three categories: Soft tissue, bony,and arthroereisis. This paper will describe the jointpreserving techniques and their application to treat the pediatric flatfoot deformity.

关键词： Flatfoot Flexible arthroereisis Pediatric Planovalgus Rigid Pes planus

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