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Subtalar arthroereisis: a combined technique.

R J Giorgini1, F G Schiraldi, P A Hernandez

  • 1Department of Surgery, New York College of Podiatric Medicine, New York.

The Journal of Foot Surgery
|March 1, 1988
PubMed
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This study details an arthroereisis procedure for severe pediatric flatfoot, showing it's effective when combined with strict post-operative care and biomechanical management for improved outcomes.

Area of Science:

  • Pediatric Orthopedics
  • Foot and Ankle Surgery
  • Biomechanical Engineering

Background:

  • Severely hypermobile and symptomatic flatfoot in children presents a significant clinical challenge.
  • Current treatment options for pediatric flatfoot may have limitations in addressing severe cases.

Purpose of the Study:

  • To report the evolution and outcomes of a specific arthroereisis procedure for pediatric flatfoot.
  • To evaluate the efficacy of talonavicular desmoplasty with Silastic interpositional sphere and tibial tendon suspension.

Main Methods:

  • The study reviewed four cases of pediatric flatfoot treated with arthroereisis.
  • The procedure involved talonavicular desmoplasty, posterior and anterior tibial tendon suspension, and sinus tarsi Silastic sphere implantation.

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  • Follow-up extended to a maximum of 6 years.

    • Main Results:

    • The described arthroereisis procedure demonstrated efficacy in the reviewed cases.
    • Successful outcomes were achieved in managing severely hypermobile and symptomatic pediatric flatfoot.

    Conclusions:

    • This arthroereisis technique is a viable option for severe pediatric flatfoot.
    • Efficacy is enhanced by a strict postoperative regimen and appropriate biomechanical management.