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The outcomes of subtalar arthroereisis in pes planus: a systemic review and meta-analysis.
Arch Orthop Trauma Surg. 2020 May 06 [Online ahead of print]AO

Abstract

INTRODUCTION

Subtalar arthroereisis has been increasingly accepted as a solution to manage symptomatic pes planus. However, despite the recent developments related to arthroereisis, no other published literature has aimed to review the outcomes in paediatric patients since 2010. This systematic review and meta-analysis, therefore, aims to evaluate the current outcomes of subtalar arthroereisis in the treatment of symptomatic pes planus among the paediatric population.

MATERIALS AND METHODS

The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All studies reported on the clinical outcomes of subtalar arthroereisis in children aged 21 or younger were included.

RESULTS

A total of 17 publications were included, with 1536 feet. The average duration of follow-up of the studies included in the review is 43.52 months. The studies consistently reported improvement in the radiological outcomes, approximating that of a normal population. Subtalar arthroereisis has shown to restore the collapsed medial longitudinal arch, supported by the decrease in Meary's angle to 5.267° (95% CI: 4.695°-5.839°, normal: 0°-10.0°) post-operatively and an increased calcaneal pitch of 15.70° (95% CI: 15.41°-15.99°, normal 18.0°-20.0°). Deformities associated with pes planus such as heel valgus was also significantly reduced, evident by the post-operative lateral talocalcaneal angle of 27.19° (95% CI: 26.44°-27.93°, normal: 25.0°-45.0°) and a post-operative Kite's angle of 18.13° (95% CI: 17.73°-18.52°, normal: 15.0°-30.0°). Subjectively, subtalar arthroereisis has generally resulted in an improvement in the grading of outcomes postoperatively from the patient's point of view.

CONCLUSIONS

Subtalar arthroereisis could serve as a procedure to correct radiological abnormalities, as well as relieve pain in selected patients with symptomatic pes planus.

Authors+Show Affiliations

Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore. sharon_sh_tan@nuhs.edu.sg.Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 1E Kent Ridge Road, NUHS Tower Block Level 11, Singapore, 119074, Singapore.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32377845

Citation

Tan, Joelle Hwee Inn, et al. "The Outcomes of Subtalar Arthroereisis in Pes Planus: a Systemic Review and Meta-analysis." Archives of Orthopaedic and Trauma Surgery, 2020.
Tan JHI, Tan SHS, Lim AKS, et al. The outcomes of subtalar arthroereisis in pes planus: a systemic review and meta-analysis. Arch Orthop Trauma Surg. 2020.
Tan, J. H. I., Tan, S. H. S., Lim, A. K. S., & Hui, J. H. (2020). The outcomes of subtalar arthroereisis in pes planus: a systemic review and meta-analysis. Archives of Orthopaedic and Trauma Surgery. https://doi.org/10.1007/s00402-020-03458-8
Tan JHI, et al. The Outcomes of Subtalar Arthroereisis in Pes Planus: a Systemic Review and Meta-analysis. Arch Orthop Trauma Surg. 2020 May 6; PubMed PMID: 32377845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The outcomes of subtalar arthroereisis in pes planus: a systemic review and meta-analysis. AU - Tan,Joelle Hwee Inn, AU - Tan,Si Heng Sharon, AU - Lim,Andrew Kean Seng, AU - Hui,James Hoipo, Y1 - 2020/05/06/ PY - 2019/10/29/received PY - 2020/5/8/entrez KW - Paediatric pes planus KW - Pes planovalgus deformity KW - Pes planus KW - Subtalar arthroereisis JF - Archives of orthopaedic and trauma surgery JO - Arch Orthop Trauma Surg N2 - INTRODUCTION: Subtalar arthroereisis has been increasingly accepted as a solution to manage symptomatic pes planus. However, despite the recent developments related to arthroereisis, no other published literature has aimed to review the outcomes in paediatric patients since 2010. This systematic review and meta-analysis, therefore, aims to evaluate the current outcomes of subtalar arthroereisis in the treatment of symptomatic pes planus among the paediatric population. MATERIALS AND METHODS: The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All studies reported on the clinical outcomes of subtalar arthroereisis in children aged 21 or younger were included. RESULTS: A total of 17 publications were included, with 1536 feet. The average duration of follow-up of the studies included in the review is 43.52 months. The studies consistently reported improvement in the radiological outcomes, approximating that of a normal population. Subtalar arthroereisis has shown to restore the collapsed medial longitudinal arch, supported by the decrease in Meary's angle to 5.267° (95% CI: 4.695°-5.839°, normal: 0°-10.0°) post-operatively and an increased calcaneal pitch of 15.70° (95% CI: 15.41°-15.99°, normal 18.0°-20.0°). Deformities associated with pes planus such as heel valgus was also significantly reduced, evident by the post-operative lateral talocalcaneal angle of 27.19° (95% CI: 26.44°-27.93°, normal: 25.0°-45.0°) and a post-operative Kite's angle of 18.13° (95% CI: 17.73°-18.52°, normal: 15.0°-30.0°). Subjectively, subtalar arthroereisis has generally resulted in an improvement in the grading of outcomes postoperatively from the patient's point of view. CONCLUSIONS: Subtalar arthroereisis could serve as a procedure to correct radiological abnormalities, as well as relieve pain in selected patients with symptomatic pes planus. SN - 1434-3916 UR - https://www.unboundmedicine.com/medline/citation/32377845/The_outcomes_of_subtalar_arthroereisis_in_pes_planus:_a_systemic_review_and_meta_analysis_ L2 - https://dx.doi.org/10.1007/s00402-020-03458-8 DB - PRIME DP - Unbound Medicine ER -
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