Clinical Results of the Subtalar Arthroereisis for the Flat Foot.
- Author:
Jeong Seok MOON
1
;
Woo Han BAE
;
Jeong Gook SEO
;
Woo Chun LEE
Author Information
1. Department of Orthopaedic Surgery, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea. wclee@seoulpaik.ac.kr
- Publication Type:Original Article
- Keywords:
Flatfoot;
Arthroereisis;
Kalix(R)
- MeSH:
Congenital Abnormalities;
Flatfoot;
Follow-Up Studies;
Foot;
Humans;
Metatarsal Bones;
Weight-Bearing
- From:Journal of Korean Foot and Ankle Society
2008;12(2):117-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine the clinical and radiographic results of arthroereisis using the Kalix(R) implant (Newdeal, Lyon, France) for the treatment of flexible flatfoot deformity. MATERIALS AND METHODS: From February 2005 to February 2007, we performed the subtalar arthroereisis on 8 patients (9 feet) of symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 14.5 years (11~29 years) old. We checked the functional status with AOFAS functional score pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-first metatarsal angle, calcaneal pitch angle in pre-operatively and at final follow-up. RESULTS: Mean follow up period was 34.4 months. Average AOFAS score improved from preoperatively 65.6 to postoperatively 94.8. Average lateral talo-first metatarsal angle reduced from 12.8degrees preoperatively to 1.6degrees at final follow-up. Average anterior to posterior talo-first metatarsal angle was reduced from 15.1degrees preoperatively to 8.3degrees at final follow-up. Average calcaneal pitch angle was increased from 9.5degrees preoperatively to 12.0degrees at final follow-up. CONCLUSIONS: Subtalar arthroereisis with Kalix(R) implant can be considered to be one of treatment options symptomatic flatfoot deformity patients.