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

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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.
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Keywords: calcaneal osteotomy; kinematic motion analysis; lateral column lengthening; painful flatfoot; pedobarometry; planovalgus foot; subtalar arthroereisis

Document Type: Research Article

Affiliations: 1: University of Oklahoma, Department of Orthopedic Surgery and Rehabilitation, Oklahoma City, Oklahoma 2: Shriners Hospital for Children 3: Shriners Hospital for Children, Primary Children’s Hospital, University of Utah, Salt Lake City, Utah, USA

Publication date: July 1, 2015

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