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KMID : 1130920150190040176
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Journal of Korean Foot and Ankle Society
2015 Volume.19 No. 4 p.176 ~ p.180
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Calcaneo-stop Procedure for Management of Pediatric Symptomatic Flexible Flatfoot
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Lee Kang
Nam Young-Joon
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Abstract
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Purpose: The aim of the current study is to report on the clinical and radiographic results after calcaneo-stop procedure in Korean children with symptomatic flexible flatfoot.
Materials and Methods: Twenty-two children suffering pain along the medial aspect of midfoot with flexible flatfoot whose symptoms did not improve with conservative measures and therefore underwent calcaneo-stop procedure were identified retrospectively. Clinically, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and visual analogue scale (VAS) were evaluated. Radiographically, standing anteroposterior and lateral radiographs of the foot and Saltzman’s alignment views were taken and talonavicular coverage angle, lateral talo-first metatarsal angle, and hindfoot alignment angles were measured and analyzed.
Results: Clinically, AOFAS ankle-hindfoot scale improved from 70.3±5.6 to 97.3±2.5 and VAS improved from 6.4±1.6 to 0.2±0.4. Radiographically, talonavicular coverage angle improved from 28.3°±12.3° to 10.9°±8.1°, lateral talo-first metatarsal angle improved from ?19.3°±9.0° to ?2.4°±8.1°, and hindfoot alignment angle improved from valgus 11.9°±10.0° to 3.5°±4.3° at minimum 2-year follow-up. No complications occurred postoperatively.
Conclusion: Calcaneo-stop procedure is a simple and very effective procedure for management of pediatric symptomatic flexible flatfoot that does not respond to conservative treatment.
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KEYWORD
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Flatfoot, Pediatric, Arthroereisis, Calcaneo-stop
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