Comparison of different interposition techniques after surgical resection of tarsal coalitions in children: a systematic review.

Autor:	Spaans AJ; Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen/Boxmeer., Korbee SE; Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen/Boxmeer., Simoens NC; Department of Emergency Medicine, Rijnstate Hospital, Arnhem., van Bergen CJA; Department of Orthopaedic Surgery, Amphia Hospital, Breda.; Department of Orthopaedic Surgery and Sports Medicine, Erasmus University Medical Center - Sophia Children's Hospital, Rotterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2025 Jan 01; Vol. 34 (1), pp. 1-8. Date of Electronic Publication: 2024 Apr 09.
DOI:	10.1097/BPB.0000000000001177
Abstrakt:	In the surgical treatment of tarsal coalitions, it is unclear whether interposition material should be used to prevent recurrence. The aim of this review was to systematically examine the results of different interposition tissues after surgical resection of tarsal coalitions in children. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Two independent investigators systematically searched electronic databases (PubMed, Embase, Cochrane) and included original articles reporting outcomes of tarsal coalition resection. The quality of included studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Out of 294 articles, 21 studies examining 436 patients (581 feet), were included. The mean age was 12.2 years (range 7-18). There were 153 talocalcaneal, 425 calcaneonavicular, 2 naviculocuboidal, and 1 naviculocuneiform coalitions. The mean follow-up time was 58 months (range 12-276). In 96 feet, solely resection was performed. Resection and interposition were performed with muscle/tendon (n = 178), fat graft (n = 176), other material (n = 36), or a combination of interposition techniques (n = 95). Eighteen studies reported on recurrence, which was found in 45 of 485 feet (9%). The highest recurrence (17%) was described after muscle/tendon interposition for calcaneonavicular coalitions. However, a statistical comparison could not be performed. The included studies were diverse and the scientific quality was generally low (MINORS mean 7, range 3-20). Coalition resection with various interposition techniques results in low recurrence rates. It is unclear which interposition material shows the best results. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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