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Effectiveness of surgically treated symptomatic plano-valgus deformity by the calcaneo stop procedure according to
Sakti P Das1, Pulin B Das2, Ganesh S3
1Department of Orthopaedics, Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Bairoi, Cuttack, Odisha, India.
Background:
The incidence of flatfoot is approximately 5% in children and adults. The symptomatic form of a flexible flatfoot produces subjective and objective complaints, including gait disturbances. Surgical intervention is considered when conservative management fails. The arthroereisis procedure provides a stable foot and durable correction. However, to the best of our knowledge, no study has evaluated the effectiveness of this procedure on gait parameters.
Methods:
Fifteen children with painful flatfeet (10 males; 5 females) with a mean age of 12 years and 6 months underwent the calcaneo stop procedure. Radiographic, gait analysis and functional measures were evaluated to assess the changes pre- and post-operatively.
Results:
All children were followed up for a mean period of 4 years and 6 months. The overall results of the study exhibited statistically significant improvement for all radiographic variables, functional measures and range of motion investigated in the study (p < 0.05). Although the study showed improvement in all temporal parameters (p < 0.05) measured in the gait analysis, the results demonstrated there were no statistically significant differences in the kinematic and kinetic variables (p > 0.05) before and after surgery.
Conclusions:
Although there was no significant improvement in the kinematic and kinetic variables investigated, this study supports the calcaneo-stop procedure as a reliable and effective procedure for treating paediatric flexible flatfoot.
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