Subtalar arthroereisis post-operative management in children: A literature review

Antonio Mazzotti; Valentina Viglione; Simone Gerardi; Elena Artioli; Gino Rocca; Cesare Faldini

doi:10.1016/j.foot.2023.102037

Subtalar arthroereisis post-operative management in children: A literature review

Foot (Edinb). 2023 Sep:56:102037. doi: 10.1016/j.foot.2023.102037. Epub 2023 May 8.

Authors

Antonio Mazzotti¹, Valentina Viglione², Simone Gerardi², Elena Artioli², Gino Rocca³, Cesare Faldini⁴

Affiliations

¹ IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123 Bologna, Italy. Electronic address: antonio.mazzotti@ior.it.
² IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy.
³ IRCCS Istituto Ortopedico Rizzoli, Pediatric Orthopedics and Traumatology, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy.
⁴ IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123 Bologna, Italy.

PMID: 37167704
DOI: 10.1016/j.foot.2023.102037

Abstract

Purpose: Subtalar arthroereisis is a minimally-invasive technique for the treatment of flexible flatfoot. Some issues regarding the procedure are still debated, such as post-operative management. The aim of this study is to offer a review of the pertaining literature to identify current post-operative protocols and describe possible differences among them.

Methods: We searched the PubMed database for all papers related to subtalar arthroereisis in children specifying the post-operative protocols. After reviewing all studies according to excluding criteria, 50 articles were selected for analysis.

Results: Based on the literature review, different post-operative protocols emerged in the treatment of patients undergoing subtalar arthroereisis, in particular regarding length of hospital stay, type and duration of immobilization, weight-bearing management, adopted rehabilitation scheme, sport resumption and implant removal.

Conclusions: The most important finding was the existence of a wide variety in post-operative management after subtalar arthroereisis in children, thus confirming that no clear consensus still exists in this field.

Keywords: Flatfoot; Pes planus; Post-operative management; Subtalar arthroereisis.

Publication types

Review