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Treatment of painful pediatric flatfoot with Maxwell-Brancheau subtalar arthroereisis implant a retrospective radiographic review.
Foot Ankle Spec. 2010 Apr; 3(2):67-72.FA

Abstract

The purposes of this study were to evaluate the outcome of pediatric patients who have undergone Maxwell-Brancheau arthroereisis (MBA) subtalar implants for the treatment of painful pediatric flatfoot deformities. In a retrospective study, 39 patients (68 feet) were evaluated clinically and radiographically. The mean age of the patients was 12 years (range, 6-16 years). The mean period of follow-up was 24 months (range, 6-61 months). Statistical evaluation was performed on all radiographic measurements. Additional surgical procedures (gastrocnemius recession, Achilles tendon lengthening, Kidner posterior tibial tendon advancement) were performed in 22 of 68 feet. There were 10 (15%) complications, which consisted of 10 reoperations in 10 feet. Implants were exchanged in 9 feet because of implant migration, undercorrection, and overcorrection. There was 1 reoperation (in 1 foot) for implant removal because of persistent sinus tarsi pain. Radiographic evaluation demonstrated an improvement of all parameters determined. The parameters that were evaluated include talonavicular joint coverage, as well as lateral and anterior-posterior talocalcaneal angles. There were significant changes noted in pre- and postoperative measurements (P < .001). The MBA implant is effective for the correction of painful, flexible flatfoot deformity in children in short-term follow-up. However, this is a multiplanar deformity, and additional procedures may be needed in addition to the MBA.

Authors+Show Affiliations

Wheaton Franciscan Healthcare, Milwaukee, Wisconsin 53222, USA. Brando_Scharer@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20400415

Citation

Scharer, Brandon M., et al. "Treatment of Painful Pediatric Flatfoot With Maxwell-Brancheau Subtalar Arthroereisis Implant a Retrospective Radiographic Review." Foot & Ankle Specialist, vol. 3, no. 2, 2010, pp. 67-72.
Scharer BM, Black BE, Sockrider N. Treatment of painful pediatric flatfoot with Maxwell-Brancheau subtalar arthroereisis implant a retrospective radiographic review. Foot Ankle Spec. 2010;3(2):67-72.
Scharer, B. M., Black, B. E., & Sockrider, N. (2010). Treatment of painful pediatric flatfoot with Maxwell-Brancheau subtalar arthroereisis implant a retrospective radiographic review. Foot & Ankle Specialist, 3(2), 67-72. https://doi.org/10.1177/1938640010362262
Scharer BM, Black BE, Sockrider N. Treatment of Painful Pediatric Flatfoot With Maxwell-Brancheau Subtalar Arthroereisis Implant a Retrospective Radiographic Review. Foot Ankle Spec. 2010;3(2):67-72. PubMed PMID: 20400415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of painful pediatric flatfoot with Maxwell-Brancheau subtalar arthroereisis implant a retrospective radiographic review. AU - Scharer,Brandon M, AU - Black,Brian E, AU - Sockrider,Nathan, Y1 - 2010/02/24/ PY - 2010/4/20/entrez PY - 2010/4/20/pubmed PY - 2010/7/24/medline SP - 67 EP - 72 JF - Foot & ankle specialist JO - Foot Ankle Spec VL - 3 IS - 2 N2 - The purposes of this study were to evaluate the outcome of pediatric patients who have undergone Maxwell-Brancheau arthroereisis (MBA) subtalar implants for the treatment of painful pediatric flatfoot deformities. In a retrospective study, 39 patients (68 feet) were evaluated clinically and radiographically. The mean age of the patients was 12 years (range, 6-16 years). The mean period of follow-up was 24 months (range, 6-61 months). Statistical evaluation was performed on all radiographic measurements. Additional surgical procedures (gastrocnemius recession, Achilles tendon lengthening, Kidner posterior tibial tendon advancement) were performed in 22 of 68 feet. There were 10 (15%) complications, which consisted of 10 reoperations in 10 feet. Implants were exchanged in 9 feet because of implant migration, undercorrection, and overcorrection. There was 1 reoperation (in 1 foot) for implant removal because of persistent sinus tarsi pain. Radiographic evaluation demonstrated an improvement of all parameters determined. The parameters that were evaluated include talonavicular joint coverage, as well as lateral and anterior-posterior talocalcaneal angles. There were significant changes noted in pre- and postoperative measurements (P < .001). The MBA implant is effective for the correction of painful, flexible flatfoot deformity in children in short-term follow-up. However, this is a multiplanar deformity, and additional procedures may be needed in addition to the MBA. SN - 1938-7636 UR - https://www.unboundmedicine.com/medline/citation/20400415/Treatment_of_painful_pediatric_flatfoot_with_Maxwell_Brancheau_subtalar_arthroereisis_implant_a_retrospective_radiographic_review_ L2 - http://journals.sagepub.com/doi/full/10.1177/1938640010362262?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -