Calcaneo-stop Procedure for Paediatric Flexible Flatfoot

Researchers performed a study to assess the pedographic outcome of the percutaneous arthroereisis with the use of a screw through the sinus tarsi into the talus, through the evaluation of 43 calcaneo-stop procedures of 25 pediatric patients. Patient satisfaction rate was excellent for 33 feet of 19 children, good for eight feet of five children, and poor for either feet of one child. No complications during or following the surgery were observed. The mean rest heel valgus decreased from 13.4° (10°–17°, SD 1.5) to 2.8° (0°–6°, SD 1.7) post op. The Meary’s angle improved from 160.2° (148°–177°, SD 6.8) to 175.9° (167°–179°, SD 3.5). The area and the pressure–time integral (load amount, PTI) values increased on the lateral regions of the sole (except for the lesser toes) and decreased on the medial areas (except for the hallux). The relative contact time in the lateral midfoot increased from 63.8% (39.6–78.4%, SD 10.6) to 75.1% (50–86.1%, SD 9.4), and that in the lateral forefoot region from 81.2% (60.4–89.2%, SD 6.6) to 86.8% (78.1–97.1%, SD 4.8).

From the article of the same title
Archives of Orthopaedic and Trauma Surgery (05/11) Kellermann, Peter; Roth, Sandor; Gion, Katalin; et al.

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About drphilipw

Dr. Philip Wrotslavsky specializes in the diagnosis and treatment of infant, children and adult patients with medical conditions of the foot, ankle and lower leg structures. Dr Wrotslavsky completed his orthopedic fellowship (Chief Fellow) at The Limb Reconstruction Fellowship Program at the International Center for Limb Lengthening in Baltimore, Maryland under the guidance of Dr. Dror Paley and Dr. John Herzenberg. His fellowship experience included the in-depth study, prevention, and treatment of limb threatening foot conditions, infections, diabetic charcot neuroarthropathy, nonunions, malunions, and congenital and posttraumatic limb deformities. He has adopted techniques derived from the science of distraction osteogenesis.He is adept at utilizing the full gamut of orthopedic fixation materials, including screws, wires, plates, intramedullary rods, and monolateral and circular fixators (Ilizarov and Taylor Spatial Frame) in the treatment and correction of deformities. His 4 years of podiatry foot and ankle surgical residency training took place in an inner city hospital in New York City, where he worked with a multidisciplinary team of general, podiatric, orthopedic and vascular physicians and surgeons and provided a wide variety of foot and ankle care including wound care, ankle arthroscopy, diabetic limb salvage and reconstruction, flatfoot reconstruction, neurological cavo-varus foot reconstruction and management of trauma to the foot and ankle. Dr Wrotslavsky's fellowship and residency training has taught him to perform a full biomechanical exam identifying lower extremity pathology from spine to foot.He enjoys working with a team of physicians identifying the patients’ pathology and providing the appropriate treatment.
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