Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up

Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF. Thirty-seven pat...

Full description

Saved in:
Bibliographic Details
Published in:Foot and ankle surgery 2025-01, Vol.31 (1), p.31
Main Authors: Moraca, Giacomo, Martinelli, Nicolò, Bianchi, Alberto, Filardo, Giuseppe, Sansone, Valerio
Format: Article
Language:English
Subjects:
Flexible flat foot
Metallic implant
Pediatric
Subtalar arthroereisis
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c1503-d8352789f079425bb7989b285c72bc2a3f63184fad51c8f0211a8853c12d5e833
container_end_page
container_issue 1
container_start_page 31
container_title Foot and ankle surgery
container_volume 31
creator Moraca, Giacomo
Martinelli, Nicolò
Bianchi, Alberto
Filardo, Giuseppe
Sansone, Valerio
description Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF. Thirty-seven patients (11.9 ± 1.6yy) underwent SA (74 feet), with outcomes assessed after a mean 10-year follow-up. Pain, quality of life, foot functionality, and alignment were evaluated using validated tools and radiographic parameters, calculated on weightbearing x-rays pre- and post-operatively. Clinical outcomes reached excellent postoperative results (FFI: 9.1, AOFAS: 94.5) with a low 0.9 NRS pain (p 
doi_str_mv 10.1016/j.fas.2024.06.004
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3076763677</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1268773124001437</els_id><sourcerecordid>3076763677</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1503-d8352789f079425bb7989b285c72bc2a3f63184fad51c8f0211a8853c12d5e833</originalsourceid><addsrcrecordid>eNp9UcuO1DAQjBCIXQY-gAvykUuCH3k44rRa8ZJW4gCcrY7TZjxyxsH27DJfxu_RwwwcObnVXVXtrqqql4I3gov-za5xkBvJZdvwvuG8fVRdi7bn9djp9jHVstf1MChxVT3Lecc5H0aunlZXSo-DHLS6rn59OUwFAiQGqWxTxIQ--8wefNmyBWkUvGV-WQPsC6MBsAwOGexnhs6hLf4eWUkIZUFCuJjYirOHkoi3QvHUvcjl47KWuFDPMhfwp58CUgHFIZaG3TDB6yPSV2zwe28h_NmSYPbxe4J1e6LFEOJDfVifV08chIwvLu-m-vb-3dfbj_Xd5w-fbm_uais6rupZq44OHR1d3spumoZRj5PUnR3kZCUo1yuhWwdzJ6x2XAoBWnfKCjl3qJXaVK_PumuKPw6Yi1l8thjIDoyHbBQf-qFXPbm8qcQZalPMOaEza_ILpKMR3JzyMjtDeZlTXob3hvIizquL_GFacP7H-BsQAd6eAUhH3ntMJluy1JLFicw3c_T_kf8NW6KpHg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3076763677</pqid></control><display><type>article</type><title>Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up</title><source>ScienceDirect Journals</source><creator>Moraca, Giacomo ; Martinelli, Nicolò ; Bianchi, Alberto ; Filardo, Giuseppe ; Sansone, Valerio</creator><creatorcontrib>Moraca, Giacomo ; Martinelli, Nicolò ; Bianchi, Alberto ; Filardo, Giuseppe ; Sansone, Valerio</creatorcontrib><description>Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF. Thirty-seven patients (11.9 ± 1.6yy) underwent SA (74 feet), with outcomes assessed after a mean 10-year follow-up. Pain, quality of life, foot functionality, and alignment were evaluated using validated tools and radiographic parameters, calculated on weightbearing x-rays pre- and post-operatively. Clinical outcomes reached excellent postoperative results (FFI: 9.1, AOFAS: 94.5) with a low 0.9 NRS pain (p &lt; 0.01) and a 92 % satisfaction. All radiographic parameters improved significantly towards normal values: CP 17.5 ± 3.9, MA 4.3 ± 5.8, TCA 42.8 ± 6.2, TNCA 21.1 ± 8.5, TNU% 26.6 ± 8.4 (all p &lt; 0.01). SA with a metallic endosinotarsal device provided significant long-term clinical and radiographic improvements, with low complication rates and high patient satisfaction, supporting its efficacy as a treatment option for pediatric symptomatic FFF. IV</description><identifier>ISSN: 1268-7731</identifier><identifier>ISSN: 1460-9584</identifier><identifier>EISSN: 1460-9584</identifier><identifier>DOI: 10.1016/j.fas.2024.06.004</identifier><identifier>PMID: 38972783</identifier><language>eng</language><publisher>France: Elsevier Ltd</publisher><subject>Flexible flat foot ; Metallic implant ; Pediatric ; Subtalar arthroereisis</subject><ispartof>Foot and ankle surgery, 2025-01, Vol.31 (1), p.31</ispartof><rights>2024 European Foot and Ankle Society</rights><rights>Copyright © 2024 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1503-d8352789f079425bb7989b285c72bc2a3f63184fad51c8f0211a8853c12d5e833</cites><orcidid>0000-0003-3206-4765 ; 0009-0000-0586-376X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38972783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moraca, Giacomo</creatorcontrib><creatorcontrib>Martinelli, Nicolò</creatorcontrib><creatorcontrib>Bianchi, Alberto</creatorcontrib><creatorcontrib>Filardo, Giuseppe</creatorcontrib><creatorcontrib>Sansone, Valerio</creatorcontrib><title>Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up</title><title>Foot and ankle surgery</title><addtitle>Foot Ankle Surg</addtitle><description>Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF. Thirty-seven patients (11.9 ± 1.6yy) underwent SA (74 feet), with outcomes assessed after a mean 10-year follow-up. Pain, quality of life, foot functionality, and alignment were evaluated using validated tools and radiographic parameters, calculated on weightbearing x-rays pre- and post-operatively. Clinical outcomes reached excellent postoperative results (FFI: 9.1, AOFAS: 94.5) with a low 0.9 NRS pain (p &lt; 0.01) and a 92 % satisfaction. All radiographic parameters improved significantly towards normal values: CP 17.5 ± 3.9, MA 4.3 ± 5.8, TCA 42.8 ± 6.2, TNCA 21.1 ± 8.5, TNU% 26.6 ± 8.4 (all p &lt; 0.01). SA with a metallic endosinotarsal device provided significant long-term clinical and radiographic improvements, with low complication rates and high patient satisfaction, supporting its efficacy as a treatment option for pediatric symptomatic FFF. IV</description><subject>Flexible flat foot</subject><subject>Metallic implant</subject><subject>Pediatric</subject><subject>Subtalar arthroereisis</subject><issn>1268-7731</issn><issn>1460-9584</issn><issn>1460-9584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp9UcuO1DAQjBCIXQY-gAvykUuCH3k44rRa8ZJW4gCcrY7TZjxyxsH27DJfxu_RwwwcObnVXVXtrqqql4I3gov-za5xkBvJZdvwvuG8fVRdi7bn9djp9jHVstf1MChxVT3Lecc5H0aunlZXSo-DHLS6rn59OUwFAiQGqWxTxIQ--8wefNmyBWkUvGV-WQPsC6MBsAwOGexnhs6hLf4eWUkIZUFCuJjYirOHkoi3QvHUvcjl47KWuFDPMhfwp58CUgHFIZaG3TDB6yPSV2zwe28h_NmSYPbxe4J1e6LFEOJDfVifV08chIwvLu-m-vb-3dfbj_Xd5w-fbm_uais6rupZq44OHR1d3spumoZRj5PUnR3kZCUo1yuhWwdzJ6x2XAoBWnfKCjl3qJXaVK_PumuKPw6Yi1l8thjIDoyHbBQf-qFXPbm8qcQZalPMOaEza_ILpKMR3JzyMjtDeZlTXob3hvIizquL_GFacP7H-BsQAd6eAUhH3ntMJluy1JLFicw3c_T_kf8NW6KpHg</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Moraca, Giacomo</creator><creator>Martinelli, Nicolò</creator><creator>Bianchi, Alberto</creator><creator>Filardo, Giuseppe</creator><creator>Sansone, Valerio</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3206-4765</orcidid><orcidid>https://orcid.org/0009-0000-0586-376X</orcidid></search><sort><creationdate>20250101</creationdate><title>Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up</title><author>Moraca, Giacomo ; Martinelli, Nicolò ; Bianchi, Alberto ; Filardo, Giuseppe ; Sansone, Valerio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1503-d8352789f079425bb7989b285c72bc2a3f63184fad51c8f0211a8853c12d5e833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Flexible flat foot</topic><topic>Metallic implant</topic><topic>Pediatric</topic><topic>Subtalar arthroereisis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moraca, Giacomo</creatorcontrib><creatorcontrib>Martinelli, Nicolò</creatorcontrib><creatorcontrib>Bianchi, Alberto</creatorcontrib><creatorcontrib>Filardo, Giuseppe</creatorcontrib><creatorcontrib>Sansone, Valerio</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moraca, Giacomo</au><au>Martinelli, Nicolò</au><au>Bianchi, Alberto</au><au>Filardo, Giuseppe</au><au>Sansone, Valerio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up</atitle><jtitle>Foot and ankle surgery</jtitle><addtitle>Foot Ankle Surg</addtitle><date>2025-01-01</date><risdate>2025</risdate><volume>31</volume><issue>1</issue><spage>31</spage><pages>31-</pages><issn>1268-7731</issn><issn>1460-9584</issn><eissn>1460-9584</eissn><abstract>Subtalar arthroereisis (SA) is an increasingly applied minimally invasive approach for flexible flat foot (FFF) not responsive to conservative treatment. This study aimed at evaluating the long-term clinical and radiographic outcomes of SA in pediatric patients with symptomatic FFF. Thirty-seven patients (11.9 ± 1.6yy) underwent SA (74 feet), with outcomes assessed after a mean 10-year follow-up. Pain, quality of life, foot functionality, and alignment were evaluated using validated tools and radiographic parameters, calculated on weightbearing x-rays pre- and post-operatively. Clinical outcomes reached excellent postoperative results (FFI: 9.1, AOFAS: 94.5) with a low 0.9 NRS pain (p &lt; 0.01) and a 92 % satisfaction. All radiographic parameters improved significantly towards normal values: CP 17.5 ± 3.9, MA 4.3 ± 5.8, TCA 42.8 ± 6.2, TNCA 21.1 ± 8.5, TNU% 26.6 ± 8.4 (all p &lt; 0.01). SA with a metallic endosinotarsal device provided significant long-term clinical and radiographic improvements, with low complication rates and high patient satisfaction, supporting its efficacy as a treatment option for pediatric symptomatic FFF. IV</abstract><cop>France</cop><pub>Elsevier Ltd</pub><pmid>38972783</pmid><doi>10.1016/j.fas.2024.06.004</doi><orcidid>https://orcid.org/0000-0003-3206-4765</orcidid><orcidid>https://orcid.org/0009-0000-0586-376X</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1268-7731
ispartof Foot and ankle surgery, 2025-01, Vol.31 (1), p.31
issn 1268-7731
1460-9584
1460-9584
language eng
recordid cdi_proquest_miscellaneous_3076763677
source ScienceDirect Journals
subjects Flexible flat foot
Metallic implant
Pediatric
Subtalar arthroereisis
title Subtalar arthroereisis with metallic implant is a safe and effective treatment for pediatric patients with symptomatic flexible flatfeet. A 10-year clinical and radiographic follow-up
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T17%3A43%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Subtalar%20arthroereisis%20with%20metallic%20implant%20is%20a%20safe%20and%20effective%20treatment%20for%20pediatric%20patients%20with%20symptomatic%20flexible%20flatfeet.%20A%2010-year%20clinical%20and%20radiographic%20follow-up&rft.jtitle=Foot%20and%20ankle%20surgery&rft.au=Moraca,%20Giacomo&rft.date=2025-01-01&rft.volume=31&rft.issue=1&rft.spage=31&rft.pages=31-&rft.issn=1268-7731&rft.eissn=1460-9584&rft_id=info:doi/10.1016/j.fas.2024.06.004&rft_dat=%3Cproquest_cross%3E3076763677%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c1503-d8352789f079425bb7989b285c72bc2a3f63184fad51c8f0211a8853c12d5e833%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3076763677&rft_id=info:pmid/38972783&rfr_iscdi=true