Antonio Mazzotti1, Alberto Di Martino2,3,4, Giuseppe Geraci1, Cinzia Casadei1, Alessandro Panciera1, Sandro Giannini5, Cesare Faldini1,5. 1. 1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy. 2. 1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy. albertocorrado.dimartino@ior.it. 3. Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy. albertocorrado.dimartino@ior.it. 4. Sidney Kimmel Medical College of Thomas Jefferson University (SKMC), Philadelphia, PA, USA. albertocorrado.dimartino@ior.it. 5. Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy.
Abstract
AIM OF THE STUDY: 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). METHODS: Thirty-four pediatric patients who underwent STA with a bioabsorbable implant were enrolled and radiographic measurements, clinical outcomes, and patients' satisfaction were evaluated. RESULTS: 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. CONCLUSION: 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.
AIM OF THE STUDY: 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). METHODS: Thirty-four pediatric patients who underwent STA with a bioabsorbable implant were enrolled and radiographic measurements, clinical outcomes, and patients' satisfaction were evaluated. RESULTS: 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. CONCLUSION: 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.
Authors: Arne B M Burssens; Kris Buedts; Alexej Barg; Elizabeth Vluggen; Patrick Demey; Charles L Saltzman; Jan M K Victor Journal: Clin Orthop Relat Res Date: 2020-01 Impact factor: 4.755
Authors: Jian Xu; Abdullah Abdullah; Nedal Alkhatib; Yan Huang; Dawang Xie; Zhiqin Deng; Zhenhan Deng Journal: Am J Transl Res Date: 2021-11-15 Impact factor: 4.060