Pedobarographic outcome after subtalar screw arthroereisis in flexible juvenile flatfoot.
Gait
Juvenile flatfoot
Plantar pressure
Subtalar arthroereisis
Journal
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
10
02
2020
revised:
20
04
2020
accepted:
10
05
2020
pubmed:
10
6
2020
medline:
8
7
2021
entrez:
10
6
2020
Statut:
ppublish
Résumé
Flatfoot is a frequent skeletal deformity in childhood that can be minimally invasively treated by arthroereisis. Does the motion of juvenile flexible flatfoot normalize after arthroereisis? Pedographic measurements were obtained from 39 patients preoperatively, six months postoperatively and compared to a healthy group. The footprints were divided into 8 areas. The selected parameters were: contact area and force-time-integral. After surgery, a load shift from the medial to the lateral areas was detected under the midfoot and forefoot. The force-time-integral under the hallux normalized. However, under the lateral midfoot, the postoperative force-time-integral was significantly higher than in the control group. The study shows that arthroereisis is able to correct the medially displaced load distribution of juvenile flexible flatfoot. However, further investigations are required to find out if the higher punctual loading under the lateral midfoot may cause problems in the long term.
Sections du résumé
BACKGROUND
BACKGROUND
Flatfoot is a frequent skeletal deformity in childhood that can be minimally invasively treated by arthroereisis.
QUESTION
OBJECTIVE
Does the motion of juvenile flexible flatfoot normalize after arthroereisis?
METHOD
METHODS
Pedographic measurements were obtained from 39 patients preoperatively, six months postoperatively and compared to a healthy group. The footprints were divided into 8 areas. The selected parameters were: contact area and force-time-integral.
RESULTS
RESULTS
After surgery, a load shift from the medial to the lateral areas was detected under the midfoot and forefoot. The force-time-integral under the hallux normalized. However, under the lateral midfoot, the postoperative force-time-integral was significantly higher than in the control group.
SIGNIFICANCE
CONCLUSIONS
The study shows that arthroereisis is able to correct the medially displaced load distribution of juvenile flexible flatfoot. However, further investigations are required to find out if the higher punctual loading under the lateral midfoot may cause problems in the long term.
Identifiants
pubmed: 32513611
pii: S1268-7731(20)30083-7
doi: 10.1016/j.fas.2020.05.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
389-394Informations de copyright
Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.