Prospective comparison of subtalar arthroereisis with lateral column lengthening for painful flatfeet

David Y. Chong, Bruce A. Macwilliams, Theresa A. Hennessey, Noelle Teske, Peter M. Stevens

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

We prospectively compared subtalar arthroereisis with lateral column calcaneal lengthening for the treatment of painful flatfeet. Twenty-four feet (mean age of patients 12.8 years) were treated. Kinematic motion analysis, pedobarometry, and radiography were performed, and the Oxford Ankle-Foot Questionnaire for Children was administered for each patient before surgery and at the 1-year follow-up. We found statistically significant improvements in both groups, with no difference in their outcomes. Both groups showed significantly improved hindfoot and midfoot motion and positioning. Hindfoot range of motion was preserved. Radiography and pedobarometry also revealed significant improvements. Subtalar arthroereisis is a valid and potentially less-invasive alternative to lateral column lengthening that merits further investigation.

Original languageEnglish (US)
Pages (from-to)345-353
Number of pages9
JournalJournal of Pediatric Orthopaedics Part B
Volume24
Issue number4
DOIs
StatePublished - Jun 19 2015
Externally publishedYes

Keywords

  • calcaneal osteotomy
  • kinematic motion analysis
  • lateral column lengthening
  • painful flatfoot
  • pedobarometry
  • planovalgus foot
  • subtalar arthroereisis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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