Clinical and Radiological Outcomes of Isolated Subtalar Arthroereisis in Pediatric Flexible Flatfoot: A Prospective Cohort Study | ||||
| Zagazig University Medical Journal | ||||
| Article 29, Volume 31, Issue 4, April 2025, Page 1691-1698 PDF (867.57 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.360379.3840 | ||||
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| Authors | ||||
sami ibrahim sadek  1; Ahmed Hatem Farhan Imam2; Mohamed Saeed ElAttar3
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| 1orthopedic department,zagazig university zagazig, egypt | ||||
| 2Orthopedic and Traumatology Department, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| Abstract | ||||
| Background: Painful flexible flat foot is a common pediatric foot problem result in longstanding arthritic changes in subtalar joint complex. Use of subtalar arthroereisis screw can prevent excess calcaneal eversion and restore normal subtalar biomechanics. Methods: Thirty feet in 15 patients with symptomatic flexible flat feet between 5-12 years (11males and 4 females). Subtalar arthroereisis screw was used in all cases through direct lateral mini-sinus tarsi incision. We used the AOFAS and VAS for clinical evaluations. The talo-calcaneal angle, Meary’s angel, calcaneal valgus angle and calcaneal pitch angle were used for radiological evaluations. Results: Thirty feet were followed up for 18 months, preoperative pain was improved from 3.29 ± 1.49 to 0.45 ± 0.49 postoperative according to the Visual analogue scale (VAS) also the American orthopedic foot and ankle score (AOFAS) was improved from 70.87 ± 2.69 to 95.4 ± 3.55 postoperative. Postoperative complications: one foot with screw subluxation after 4 weeks and one foot with superficial infection treated with proper antibiotics. Conclusion: Subtalar arthroereisis screw is a mini-invasive procedure effective in treating symptomatic flexible flat foot with correction of heel valgus and restoration of the foot arch. | ||||
| Keywords | ||||
| Key words: Outcomes; Subtalar; Arthroereisis; Pediatric; Flatfoot. | ||||
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