Abstract
This study was designed to ascertain if there was a statistically significant correction
in the foot and to determine the overall health of a child after an arthroereisis
procedure. Thirty-seven patients (67 feet) who had undergone Maxwell-Brancheau arthroereisis
were retrospectively reviewed at an average of 18.4 months after surgery. The pre-
and postoperative lateral talo-first metatarsal and talar declination and the anteroposterior
talo-first metatarsal and talocalcaneal angles were measured by using an X-Caliper
device (Eisenlohr Technologies, Davis, CA); significance was determined with a t test. Child health questionnaire answers were calculated and converted to a 0 to
100 scaled score and statistically compared with population norms by using a single-sample
t test. The lateral radiographic average preoperative talo-first metatarsal and talar
declination angles were 11.3 and 27.5, respectively, and were 3.7 and 21.9, respectively,
postoperatively. The preoperative average anteroposterior talo-first metatarsal and
talocalcaneal angles were 13.8 and 25.6, respectively, and were 6.4 and 19.4, respectively,
postoperatively. The t test showed the postoperative angles had a statistically significant (P < .01) change from the preoperative angles. The results of the Child health questionnaire
of our 34 pediatric patients (92%) showed scores in 3 domains (role emotional behavior,
global behavior, parent time) that were better than population norms, and there was
no difference in the remaining domains.
Keywords
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© 2004 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
