Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children
Background: Pes planovalgus, or flexible flatfoot, deformity is a common problem in pediatric orthopedic patients. There is no consensus on using the technique of arthroereisis in the treatment of symptomatic pes planovalgus. The aim of our study was to prospectively assess the functional outcomes f...
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/23/7475 |
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| author | Andrzej Bobiński Łukasz Tomczyk Marcin Pelc Damian Aleksander Chruścicki Bartosz Śnietka Piotr Morasiewicz |
| author_facet | Andrzej Bobiński Łukasz Tomczyk Marcin Pelc Damian Aleksander Chruścicki Bartosz Śnietka Piotr Morasiewicz |
| author_sort | Andrzej Bobiński |
| collection | DOAJ |
| description | Background: Pes planovalgus, or flexible flatfoot, deformity is a common problem in pediatric orthopedic patients. There is no consensus on using the technique of arthroereisis in the treatment of symptomatic pes planovalgus. The aim of our study was to prospectively assess the functional outcomes following symptomatic pes planovalgus treatment with the use of the Spherus talar screw. Methods: Twenty-seven patients (11 females, 16 males), at a mean age of 10.5 years (7–14 years) were included in the prospective study. We assessed the level of physical activity (including sports) based on the University of California, Los Angeles (UCLA) activity scale, a 10-point level-of-activity VAS scale, and the Grimby physical activity scale. Pain was assessed based on a VAS pain scale; foot function was assessed with the revised Foot Function Index (FFI-R); and ankle joint mobility was measured. Results: The mean follow-up period was 18 months (14–26 months). There was a significant improvement in VAS-measured physical activity scores from 5.47 to 7 at follow-up, <i>p</i> = 0.048. There was a significant improvement in UCLA activity scale scores from 4.78 to 6.05 at follow-up, <i>p</i> = 0.045. Pain levels decreased from a mean VAS score of 4.73 prior to surgery to a mean score of 2.73 at follow-up, <i>p</i> = 0.047. The functional FFI-R scores showed a significant improvement from 140 points prior to surgery to 97.75 points at follow-up, <i>p</i> = 0.017. Comparison of the preoperative and follow-up values of the range of plantar flexion, adduction, and abduction in the operated limb also showed no significant changes in those individual parameters. The mean values of dorsiflexion, plantar flexion, adduction, and abduction at the ankle joint at follow-up, compared individually between the operated and non-operated foot showed no statistically significant differences. Conclusions: The use of a talar screw in the treatment of symptomatic pes planovalgus helps reduce pain and improve functional outcomes after treatment. Foot function assessments showed diminished pain, improved levels of physical and sport activity, and no effect on the range of motion after surgery in comparison with preoperative data. Arthroereisis with a talar screw is a valid surgical technique for the treatment of symptomatic pes planovalgus. |
| first_indexed | 2024-03-09T01:47:57Z |
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| language | English |
| last_indexed | 2024-03-09T01:47:57Z |
| publishDate | 2023-12-01 |
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| spelling | doaj.art-7c0da5630a544d3cb0b3dd9a7a2175292023-12-08T15:20:09ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011223747510.3390/jcm12237475Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in ChildrenAndrzej Bobiński0Łukasz Tomczyk1Marcin Pelc2Damian Aleksander Chruścicki3Bartosz Śnietka4Piotr Morasiewicz5Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, PolandDepartment of Food Safety and Quality Management, Poznan University of Life Sciences, Wojska Polskiego 28, 60-637 Poznan, PolandInstitute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, PolandInstitute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, PolandInstitute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, PolandDepartment of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Witosa 26, 45-401 Opole, PolandBackground: Pes planovalgus, or flexible flatfoot, deformity is a common problem in pediatric orthopedic patients. There is no consensus on using the technique of arthroereisis in the treatment of symptomatic pes planovalgus. The aim of our study was to prospectively assess the functional outcomes following symptomatic pes planovalgus treatment with the use of the Spherus talar screw. Methods: Twenty-seven patients (11 females, 16 males), at a mean age of 10.5 years (7–14 years) were included in the prospective study. We assessed the level of physical activity (including sports) based on the University of California, Los Angeles (UCLA) activity scale, a 10-point level-of-activity VAS scale, and the Grimby physical activity scale. Pain was assessed based on a VAS pain scale; foot function was assessed with the revised Foot Function Index (FFI-R); and ankle joint mobility was measured. Results: The mean follow-up period was 18 months (14–26 months). There was a significant improvement in VAS-measured physical activity scores from 5.47 to 7 at follow-up, <i>p</i> = 0.048. There was a significant improvement in UCLA activity scale scores from 4.78 to 6.05 at follow-up, <i>p</i> = 0.045. Pain levels decreased from a mean VAS score of 4.73 prior to surgery to a mean score of 2.73 at follow-up, <i>p</i> = 0.047. The functional FFI-R scores showed a significant improvement from 140 points prior to surgery to 97.75 points at follow-up, <i>p</i> = 0.017. Comparison of the preoperative and follow-up values of the range of plantar flexion, adduction, and abduction in the operated limb also showed no significant changes in those individual parameters. The mean values of dorsiflexion, plantar flexion, adduction, and abduction at the ankle joint at follow-up, compared individually between the operated and non-operated foot showed no statistically significant differences. Conclusions: The use of a talar screw in the treatment of symptomatic pes planovalgus helps reduce pain and improve functional outcomes after treatment. Foot function assessments showed diminished pain, improved levels of physical and sport activity, and no effect on the range of motion after surgery in comparison with preoperative data. Arthroereisis with a talar screw is a valid surgical technique for the treatment of symptomatic pes planovalgus.https://www.mdpi.com/2077-0383/12/23/7475sportfunctionpainpes planovalgussubtalar arthroereisisSpherus screw |
| spellingShingle | Andrzej Bobiński Łukasz Tomczyk Marcin Pelc Damian Aleksander Chruścicki Bartosz Śnietka Piotr Morasiewicz Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children Journal of Clinical Medicine sport function pain pes planovalgus subtalar arthroereisis Spherus screw |
| title | Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children |
| title_full | Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children |
| title_fullStr | Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children |
| title_full_unstemmed | Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children |
| title_short | Arthroereisis with a Talar Screw in Symptomatic Flexible Flatfoot in Children |
| title_sort | arthroereisis with a talar screw in symptomatic flexible flatfoot in children |
| topic | sport function pain pes planovalgus subtalar arthroereisis Spherus screw |
| url | https://www.mdpi.com/2077-0383/12/23/7475 |
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