الفهرس | Only 14 pages are availabe for public view |
Abstract Background: arthroereisis is a proposed surgical technique to treat pediatric symptomatic flexible flat foot, attempting to avoid fusion procedures and osteotomies. Objective: adding cumulative data to the previous reviews to obtain adequate data regarding the clinical, radiographic outcomes, and functional scores after surgical treatment of pediatric symptomatic flexible flat foot in children up to eighteen years old using arthroereisis. additionally, identification of the complications postoperatively and their incidence rates. Patients 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 18 or younger were included. Results: eleven studies have been found. eight are cohort and three are case control. The total number of feet identified was 1822. All the clinical scores and radiographic outcomes revealed significant improvement except for calcaneal pitch angle which showed mild improvement. complication rates are significantly low and most of them could be addressed conservatively: and after failure removal is sought with minimal or no decline in the outcomes achieved. Conclusion: arthroereisis is a simple, safe, and reliable technique to treat symptomatic flexible flat foot, with minimal complications. nevertheless, there is no strong evidence in the current literature regarding when to operate and the specific implant type to be used. More over, the lack of validated clinical and functional outcomes among the current literature is another obstacle to assess the patient perceived satisfaction rate. |