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Published on: June 15, 2018
The Viladot implant in flatfooted children
P R Black1, R P Betts, T Duckworth
1University of Connecticut, Hartford Hospital, 06106, USA.
Foot & Ankle International
|July 7, 2000
Summary
This study evaluated a flatfoot implant in children, finding significant postoperative pain and limited activity, unlike previous reports. Results showed inconsistent radiological improvements and minimal correction in foot loading and pressure centers.
Area of Science:
- Pediatric Orthopedics
- Foot and Ankle Surgery
Background:
- Flatfoot (pes planus) is a common pediatric condition.
- Surgical correction aims to restore foot mechanics and alleviate symptoms.
- Viladot's implant procedure for painless flatfeet reported favorable outcomes.
Purpose of the Study:
- To assess the efficacy of Viladot's flatfoot implant in children.
- To evaluate clinical, radiological, and pedobarographic outcomes.
- To compare results with Viladot's original findings.
Main Methods:
- Retrospective review of 22 pediatric flatfoot cases treated with Viladot's implant.
- Assessment included clinical evaluation, radiography, and pedobarography.
- Follow-up over three years in Sheffield.
Main Results:
- All patients experienced significant postoperative pain, limiting activity and sports participation.
- Radiological improvements were inconsistent.
- Pedobarography showed unchanged first metatarsal head loading and limited correction of the center of pressure.
Conclusions:
- The Viladot implant for pediatric flatfoot resulted in considerable postoperative morbidity.
- Outcomes did not consistently match Viladot's reported excellent results.
- Further investigation into implant safety and efficacy is warranted.
