Surgical management of pes planus in children with cerebral palsy: A systematic review.
Flatfoot
cerebral palsy
orthopedics
pediatrics
pes planovalgus
pes planus
surgery
Journal
Journal of children's orthopaedics
ISSN: 1863-2521
Titre abrégé: J Child Orthop
Pays: England
ID NLM: 101313582
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
13
04
2022
accepted:
17
06
2022
entrez:
14
10
2022
pubmed:
15
10
2022
medline:
15
10
2022
Statut:
ppublish
Résumé
Pes planus (or flatfoot) is the most common deformity in children with cerebral palsy. There are several surgical interventions used to treat it: single calcaneal osteotomies, extra-articular arthrodesis, double calcaneal osteotomy, calcaneo-cuboid-cuneiform osteotomy, intra-articular arthrodesis, and arthroereisis. There is currently no evidence on optimal treatment for flatfoot in children with cerebral palsy. Our purpose is to systematically review studies reporting complications, recurrence rates, and radiological outcomes of the surgical management of flatfoot in children with cerebral palsy. Five databases were searched to identify studies published from inception until July 2021, with keywords relating to flatfoot, cerebral palsy, and surgical interventions. We included prospective, retrospective, and comparative study designs in the English language. Data was extracted and tabulated in duplicate into Excel, and analysis was conducted using Python SciPy. In total, 1220 studies were identified of which 44 met the inclusion criteria, comprising 2234 feet in 1364 patients with a mean age of 10.3 years and mean follow-up of 55.9 months. Radiographic outcomes showed improvement with all procedures; complications and recurrence rates were too poorly reported to compare. Only 6 (14%) studies were assessed as a low risk of bias. There was substantial heterogeneity of outcome measures. There is a lack of high-quality, comparative studies assessing the radiological outcomes, complications, and recurrence rates of surgical alternatives to treat flatfoot in children with cerebral palsy. There is currently no clear evidence on optimal surgical treatment. IIa based on Oxford Centre for Evidence-based Medicine.
Identifiants
pubmed: 36238147
doi: 10.1177/18632521221112496
pii: 10.1177_18632521221112496
pmc: PMC9550996
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
333-346Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
J Child Orthop. 2013 Nov;7(5):373-7
pubmed: 24432097
J Pediatr Orthop B. 2013 May;22(3):233-9
pubmed: 23531550
Pediatrics. 2016 Mar;137(3):e20151230
pubmed: 26908688
J Pediatr Orthop B. 2005 Jul;14(4):274-9
pubmed: 15931032
Foot Ankle Int. 2009 Jul;30(7):647-52
pubmed: 19589311
J Pediatr Orthop. 2021 Jul 1;41(6):e433-e438
pubmed: 33734201
J Pediatr Orthop B. 2016 Mar;25(2):119-25
pubmed: 26683367
Foot Ankle Surg. 2019 Aug;25(4):462-468
pubmed: 30321957
Clin Orthop Relat Res. 2013 May;471(5):1682-90
pubmed: 23179128
J Pediatr Orthop. 2009 Mar;29(2):170-4
pubmed: 19352243
Foot Ankle Spec. 2020 Dec 03;:1938640020974886
pubmed: 33269639
Arch Orthop Trauma Surg. 1998;117(6-7):312-5
pubmed: 9709842
Foot Ankle Int. 2012 Jun;33(6):469-74
pubmed: 22735318
J Foot Ankle Surg. 2013 Nov-Dec;52(6):697-703
pubmed: 23890990
J Child Orthop. 2009 Jun;3(3):179-83
pubmed: 19308477
IEEE Trans Neural Syst Rehabil Eng. 2001 Jun;9(2):202-14
pubmed: 11474973
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
J Pediatr Orthop B. 2018 May;27(3):206-213
pubmed: 28151778
Foot Ankle Int. 2017 Aug;38(8):863-869
pubmed: 28474963
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
J Pediatr Orthop. 1998 Jan-Feb;18(1):75-80
pubmed: 9449106
J Child Orthop. 2012 Jul;6(3):217-27
pubmed: 23814622
Clin Orthop Relat Res. 2012 May;470(5):1334-43
pubmed: 22101404
J Pediatr Orthop. 2000 Jul-Aug;20(4):501-5
pubmed: 10912608
J Pediatr Orthop B. 2019 May;28(3):235-241
pubmed: 30839360
J Foot Ankle Surg. 2011 Mar-Apr;50(2):190-6
pubmed: 21354003
J Child Orthop. 2019 Aug 01;13(4):346-352
pubmed: 31489039
J Pediatr Orthop. 1984 Sep;4(5):555-9
pubmed: 6490874
J Pediatr Orthop. 1993 Sep-Oct;13(5):634-41
pubmed: 8376566
Nat Methods. 2020 Mar;17(3):261-272
pubmed: 32015543
J Bone Joint Surg Am. 1952 Oct;34 A(4):927-40; passim
pubmed: 12990633
BMJ. 2017 Sep 21;358:j4008
pubmed: 28935701
J Bone Joint Surg Br. 2004 Jul;86(5):737-42
pubmed: 15274273
Gait Posture. 2020 Feb;76:168-174
pubmed: 31862665
J Foot Ankle Surg. 2013 Mar-Apr;52(2):162-6
pubmed: 23333282
J Bone Joint Surg Am. 2008 Aug;90(8):1712-21
pubmed: 18676902
Acta Orthop Scand. 1974;45(6):945-51
pubmed: 4463694
J Bone Joint Surg Br. 1975 Aug;57(3):270-8
pubmed: 1171869
J Clin Orthop Trauma. 2020 Mar-Apr;11(2):245-250
pubmed: 32099288
EFORT Open Rev. 2021 Feb 1;6(2):118-129
pubmed: 33828855
J Bone Joint Surg Br. 1971 Feb;53(1):96-100
pubmed: 5578768
Iran J Pediatr. 2013 Jun;23(3):247-60
pubmed: 23795246
Foot Ankle Surg. 2019 Oct;25(5):640-645
pubmed: 30612816
Acta Orthop Belg. 2009 Jun;75(3):374-9
pubmed: 19681325
J Pediatr Orthop. 2017 Apr/May;37(3):e202-e208
pubmed: 27379788
Foot Ankle Int. 2006 Jul;27(7):500-7
pubmed: 16842716
J Pediatr Orthop. 2005 Nov-Dec;25(6):781-5
pubmed: 16294136
Clin Orthop Surg. 2010 Mar;2(1):13-21
pubmed: 20190996
J Clin Orthop Trauma. 2020 Aug 29;13:30-39
pubmed: 33717872
J Pediatr Orthop. 2005 Sep-Oct;25(5):651-6
pubmed: 16199949
J Pediatr Orthop B. 2014 Sep;23(5):400-5
pubmed: 24977941
Foot Ankle Int. 2009 May;30(5):398-404
pubmed: 19439138
J Pediatr Orthop. 1998 Nov-Dec;18(6):775-82
pubmed: 9821135
J Bone Joint Surg Br. 1977 Aug;59(3):333-6
pubmed: 330542
J Pediatr Orthop. 2013 Jun;33(4):431-8
pubmed: 23653034
Foot Ankle Spec. 2020 Dec 20;:1938640020980911
pubmed: 33345616
Medicine (Baltimore). 2017 Jun;96(22):e7044
pubmed: 28562561
BMJ. 2020 Jan 16;368:l6890
pubmed: 31948937
J Bone Joint Surg Am. 1995 Apr;77(4):500-12
pubmed: 7713966
J Pediatr Orthop. 2011 Mar;31(2):205-10
pubmed: 21307716