Outcomes of the "Calcaneo-stop" procedure for treating symptomatic flexible flatfoot in children: A systematic review and meta-analysis of 2394 feet.

Autor: Galán-Olleros M; Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain. Electronic address: mgalanolleros@gmail.com., Del Baño Barragán L; Orthopaedic Surgery and Traumatology Department, Hospital Universitario Clínico San Carlos, Madrid, Spain., Figueroa MJ; Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pontificia Universidad Católica de Chile, Santiago, Chile., Prato de Lima CH; Orthopaedic Surgery and Traumatology Department, Hospital Universitario HM Sanchinarro, Madrid, Spain., Fraga-Collarte M; Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain., Torres-Izquierdo B; Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO, USA., Hosseinzadeh P; Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO, USA., Martínez-Caballero I; Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2024 Oct; Vol. 30 (7), pp. 535-545. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1016/j.fas.2024.04.011
Abstrakt: Background: This study evaluates the efficacy of the calcaneo-stop (C-Stop) procedure's effectiveness in treating symptomatic flexible flatfoot (FFF) in children.
Methods: A systematic review and meta-analysis were conducted using PubMed, Embase, and Cochrane databases to identify studies until 2023 on the outcomes of the C-Stop procedure in children with FFF. The risk of bias was assessed using MINORS criteria.
Results: Of 85 studies screened, 20 involving 2394 feet from 1415 patients (mean age 11.2 ± 1.3 years) were included. Post-procedure, significant improvements were noted in pain reduction (93.5%), heel alignment (95.21%), and radiological measures, including reductions in Kite (7.32º), Meary (11.65º), Costa-Bartani angles (17.11º), talar declination (12.63º) and increase in Calcaneal Pitch Angle (5.92º). AOFAS scores increased by 22.32 points on average, with 94.83% reporting high satisfaction. Complication rate was low (7.8%).
Conclusions: The C-Stop procedure is effective for treating FFF in children, offering significant clinical, radiological, and functional improvements with high patient satisfaction and a low complication rate.
Level of Evidence: Level IV, Systematic review of Level-IV studies.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: