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Subtalar arthroereisis in pediatric flatfoot reconstruction
Pablo Fernández de Retana1, Fernándo Alvarez, Ramón Viladot
1Department of Orthopedic Surgery, Hospital San Rafael, Passeig Vall d'Hebron 107-117, 08035 Barcelona, Spain. pfernan@hsrafael.com
Foot and Ankle Clinics
|June 11, 2010
Summary
Pediatric flatfoot affects one in nine children, characterized by heel valgus and arch flattening. Subtalar arthroereisis with Achilles tendon lengthening offers an effective treatment for symptomatic cases.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Podiatry
Background:
- Pediatric and juvenile flatfoot is a prevalent condition in childhood.
- Morphologic features include heel valgus and flattening of the medial longitudinal arch.
- Associated findings may involve forefoot abnormalities and muscle hypertonia.
Purpose of the Study:
- To evaluate the efficacy of subtalar arthroereisis combined with Achilles tendon lengthening for treating pediatric flexible flatfoot.
- To assess the mid- and long-term outcomes of this surgical intervention.
Main Methods:
- The study focuses on subtalar arthroereisis, a surgical procedure.
- This technique is often performed in conjunction with Achilles tendon lengthening.
- It is indicated for children with symptomatic flexible flatfoot.
Main Results:
- Subtalar arthroereisis with Achilles tendon lengthening is a simple and effective treatment.
- The procedure yields good mid- and long-term results.
- It does not preclude future treatment options.
Conclusions:
- Symptomatic pediatric flexible flatfoot can be effectively managed with subtalar arthroereisis and Achilles tendon lengthening.
- This intervention provides favorable outcomes without compromising future therapeutic possibilities.
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