Arthroereisis Versus Lateral Column Lengthening in the Treatment of Planovalgus Feet

Study Overview
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Brief Summary
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There is no consensus on the surgical treatment of unremitting, painful flatfeet in children. Subtalar arthroereisis has gained notoriety although there is a paucity of literature on its biomechanical effects. The goal of the investigators was to compare a group treated with subtalar arthroereisis with another group undergoing lateral column calcaneal lengthening. The investigators hypothesis was that the results of arthroereisis would be equivalent to the more established method of calcaneal lengthening.

Detailed Description
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The purpose of this prospective, non-randomized study was to evaluate two different surgical treatments for symptomatic planovalgus feet: lateral column lengthening osteotomy and subtalar arthroereisis. The goal of the investigators was to compare the outcomes of these two surgeries and determine whether both treatments resulted in clinical improvement. This was accomplished through the use of pre- and post-operative kinematics, pedobarography, radiographic measurements, and validated outcome measures. The investigators were particularly interested in analyzing the kinematic changes to quantify the changes in the foot mobility and alignment during ambulation, as it has not been previously studied to our knowledge. The investigators hypothesis was that both procedures would show significant improvement and be equivalent in their results. A prospective trial was conducted. The investigators enrolled fifteen patients (mean age 12.8y, 24 feet) with painful, planovalgus feet refractory to conservative treatment. Seven patients (13 feet) were enrolled in the arthroereisis group, and eight patients (11 feet) were enrolled in the calcaneal lengthening group. Though not specifically excluded, none of the enrolled patients had an underlying neuromuscular diagnosis. Kinematic motion analysis was performed on each patient prior to surgery and at one year of follow-up. Pedobarometry studies, radiographs, and validated outcome questionnaires (Oxford Ankle-Foot Questionnaire for Children) were also performed to evaluate the outcomes of both groups.

Official Title
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Prospective Comparison of Subtalar Arthroereisis To Lateral Column Lengthening for Painful Flatfeet

Conditions
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Flatfeet

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Planovalgus foot deformity Patient normally ambulates without use of assistive devices Patient is between the ages of 7 and 17 at the initial evaluation Exclusion Criteria: Hip flexion contractures greater than 15 deg. Knee flexion contractures greater than 10 deg. Ankle dorsiflexion less than 0 deg. (plantarflexion contracture) Taking medication which effects motor control Inability to follow instructions to perform study

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Kinematics motion analysis | The change in hindfoot angle, degree of hindfoot mobility both pre- and postoperatively, degree of ankle motion both pre- and postoperatively, and amount of flexion occurring between the forefoot and hindfoot both pre- and postoperatively. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Painful flatfeet, Planovagus feet, Subtalar arthroeresis, Lateral column lengthening, Kinematic motion analysis