Pediatric flexible flatfoot: Does obesity influence the outcomes of arthroereisis?  

作　　者：Luca Monestier Giacomo Riva Mahfuz Latiff Luca Marciandi Elisa Bozzi Alessandra Pelozzi Andrea Pautasso Giorgio Pilato Michele Francesco Surace Fabio D'Angelo 

机构地区：[1]Division of Orthopedics and Traumatology,ASST Sette Laghi,Varese 21100,Lombardy,Italy [2]Residency Program in Orthopedics and Trauma,Department of Biotechnologies and Life Sciences,University of Insubria,Varese 21100,Lombardy,Italy [3]Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System,Department of Biotechnology and Life Sciences,University of Insubria,Varese 21100,Lombardy,Italy [4]Division of Orthopedics and Traumatology,Ospedale di Cittiglio,ASST Sette Laghi,Varese 21100,Lombardy,Italy

出　　处：《World Journal of Orthopedics》2024年第9期850-857,共8页世界骨科杂志（英文版）

摘　　要：BACKGROUND Childhood obesity has emerged in the last decades as an important public health problem worldwide.Although relationships between obesity and flatfoot have been shown,no studies have investigated the influence of obesity on arthroereisis outcomes.AIM To evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking implants.METHODS This retrospective study included one hundred and sixty-nine pediatric patients(10-14 years old)who underwent subtalar arthroereisis(PEEK PitStop®device)for severe flexible flatfoot.Exclusion criteria were additional procedures,revision of previous corrective surgeries,rigid flatfoot with severe deformity,and neurologi-cal or post-traumatic flatfoot.Preoperative/postoperative European Foot and Ankle Society(EFAS)and visual analogue scale(VAS)scores were determined;radiographic assessment was conducted on weight-bearing foot X-rays:Kite angle,first metatarsal-talus angle,Meary angle,calcaneal pitch angle and lateral talo-calcaneal angle were analyzed.RESULTS EFAS and VAS scores improved post-operatively in the whole population.Only seven cases with complications were reported.Radiographic assessment revealed an improvement in all angles.Statistical analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes:Relationships were reported between BMI and postoperative EFAS/VAS scores,postoperative calcaneal pitch angle,Kite angle,Meary angle and talo-first meta-tarsal angle.CONCLUSION Although arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children,obesity significantly influences clinical and radiographic outcomes of arthroereisis,and obese children tend to perceive more pain and discomfort.

关 键 词：Pediatric flatfoot OBESITY SUBTALAR ARTHROEREISIS OUTCOMES 

分 类 号：R726.8[医药卫生—儿科]