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Flexible Juvenile Flat Foot Surgical Correction: A Comparison Between Two Techniques After Ten Years' Experience
Antonio Memeo1, Fabio Verdoni1, Laura Rossi1
1Surgeon, Unity Operative Complex, Pediatric Orthopedics and Traumatology, G. Pini Institute, Milan, Italy.
Summary
This study compared two surgical treatments for flat feet in children: exosinotarsal arthroereisis and endosinotarsal arthroereisis. Results showed no significant difference between the techniques, suggesting surgeon preference guides the choice for flat foot correction.
Area of Science:
- Orthopedic Surgery
- Pediatric Podiatry
Background:
- Symptomatic juvenile flat foot is a common condition requiring surgical intervention.
- Arthroereisis is a prevalent surgical technique for correcting flat feet.
- Comparing different arthroereisis methods is crucial for optimizing patient outcomes.
Purpose of the Study:
- To retrospectively analyze and compare the efficacy of two common arthroereisis techniques for symptomatic juvenile flat foot.
- To evaluate exosinotarsal arthroereisis (metallic screw) versus endosinotarsal arthroereisis (bioabsorbable device).
Main Methods:
- Retrospective analysis of 402 feet with symptomatic, flexible, idiopathic flat feet (Viladot grades 3-4).
- Median follow-up of 130 months.
- Evaluation based on clinical assessment, pain levels, and radiographic angle variations.
Main Results:
- No statistically significant differences were observed between the exosinotarsal and endosinotarsal arthroereisis techniques.
- Both methods demonstrated comparable outcomes in terms of clinical evaluation, pain reduction, and radiographic correction.
Conclusions:
- The choice between metallic screw exosinotarsal and bioabsorbable endosinotarsal arthroereisis for juvenile flat foot is largely dependent on surgeon preference.
- Both techniques offer effective solutions for correcting symptomatic flat feet in pediatric patients.