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- Title
Long-term results of subtalar arthroereisis for the treatment of symptomatic flexible flatfoot in children: an average fifteen year follow-up study.
- Authors
Mazzotti, Antonio; Di Martino, Alberto; Geraci, Giuseppe; Casadei, Cinzia; Panciera, Alessandro; Giannini, Sandro; Faldini, Cesare
- Abstract
<bold>Aim Of the Study: </bold>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).<bold>Methods: </bold>Thirty-four pediatric patients who underwent STA with a bioabsorbable implant were enrolled and radiographic measurements, clinical outcomes, and patients' satisfaction were evaluated.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
FLATFOOT; ORTHOPEDIC surgery; TREATMENT effectiveness; SUBTALAR joint; FOOT; QUESTIONNAIRES; LONGITUDINAL method
- Publication
International Orthopaedics, 2021, Vol 45, Issue 3, p657
- ISSN
0341-2695
- Publication type
journal article
- DOI
10.1007/s00264-020-04911-4