Correction of pediatric flexible flatfoot using arthroereisis
| العنوان: | Correction of pediatric flexible flatfoot using arthroereisis |
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| المؤلفون: | Cíntia Kelly Bittar, Maria Augusta Back do Nascimento, Renê André Reinig Carvalho, Carlos Daniel Cândido de Castro Filho, Leandro Paes de Brito, Mário Sérgio Paulillo de Cillo |
| المصدر: | Scientific Journal of the Foot & Ankle, Vol 13, Iss 2, Pp 112-118 (2019) |
| بيانات النشر: | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Orthodontics, Achilles tendon, Heel, lcsh:Diseases of the musculoskeletal system, biology, business.industry, Radiography, Deformity correction, Orthopedic procedures, Flatfoot/surgery, biology.organism_classification, Valgus, lcsh:RD701-811, medicine.anatomical_structure, lcsh:Orthopedic surgery, Prostheses and implants, Deformity, medicine, Implant, medicine.symptom, lcsh:RC925-935, business, Flexible Flatfoot |
| الوصف: | Objective: The aim of this study was to evaluate the effectiveness of arthroereisis using synthetic polyethylene implants as a method to correct deformities of excessive valgus in pediatric patients with flexible flatfoot (FF). Methods: This was a study of 20 patients between 5 and 12 years of age with symptomatic FF who received surgery between January 2011 and July 2016. Evaluations were made on the basis of the Valenti podoscopic classification, radiographic images, and AOFAS criteria. Patients with preoperative Valenti classification grades of III and IV were selected for the study. These patients received surgical treatment by arthroereisis with the interposition of a synthetic implant in the sinus tarsi, with or without stretching of the Achilles tendon (Vulpius surgery). A multiple linear regression analysis was performed with backward selection of the following variables: Valenti preoperative classification and the preand postoperative Bordelon, Kite, Gould, Meary and Pitch angles that were measured from the radiographic images of the patients who received arthroereisis. Results: Arthroereisis with synthetic material interposition was satisfactory, with 21 of the feet (91% of cases) showing clinical and radiographic improvement with angle correction and improved degree of deformity based on the Valenti classification. Two cases experienced implant loosening. The Bordelon and Pitch angle variables had a significant effect (p |
| اللغة: | English |
| تدمد: | 2595-1459 2595-1467 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b0f88ac3b581ee7f38e9bd2b32b34a2e https://scijfootankle.com/ScientificJournalFootAnkle/article/view/915 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b0f88ac3b581ee7f38e9bd2b32b34a2e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25951459 25951467 |
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