Abstract
Flexible flatfoot is a common deformity in the pediatric population and can cause
a range of symptoms and reduce the quality of life. Subtalararthroereisis may be appropriate
for pediatric population whose conservative management had failed to relief their
symptoms typically for at least 6 months. Subtalararthroereisis has been developed
for a long time, but the use of interference screw for the treatment of pediatric
flexible flatfoot has not been reported. From January, 2016 to June, 2017, we operated
on 21 children (39 feet) between the ages of 8 and 14 years. The clinical assessment
was based on the American Orthopedic Foot and Ankle Society (AOFAS) hind-foot scale
and the Chippaux-Smirak Index (CSI) measurements. And the anatomical parameters assessment
was based on the radiographs and photographs. The postoperative AOFAS scores and CSI
measurements were improved compared with preoperative AOFAS scores and CSI measurements.
Postoperative anatomical parameters achieved significantly better results than preoperative
anatomical parameters. In conclusion, the use of interference screw in subtalararthroereisis
for the treatment of pediatric flexible flatfoot deformity is an effective, simple
and minimally invasive solution.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 10, 2020
Footnotes
Gaole Dai and Qihao Weng contributed equally to this study and should be considered co-first authors.
Financial Disclosure: None reported
Conflict of Interest: None reported
Identification
Copyright
© 2020 by the American College of Foot and Ankle Surgeons. All rights reserved.
