Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137 |
Resumo: | Introduction: Flexible flatfoot is common amongst children, although treatment is rarely indicated. The calcaneo-stop procedure has been reported to be effective in short-term studies. We aim to evaluate the long-term outcomes of the calcaneo-stop procedure in the treatment of flexible flatfoot in children.Material and Methods: Twenty-six calcaneo-stop procedures performed between 1995 and 2006 on 13 patients were evaluated clinically and using photopodoscopy, and the FAOS questionnaire was applied for both feet.Results: Of the 26 feet evaluated, 22 presented with heel valgus, 13 had forefoot supination and 11 had abnormal footprints. Median FAOS questionnaire score was 97.22 for ‘Pain’, 92.86 for ‘Other symptoms’, 98.53 for ‘Function in daily living’, 100 for ‘Function in sports and recreation’ and 93.75 for ‘Foot and ankle-related quality of life’.Discussion: The calcaneo-stop procedure is the least invasive and most simple surgical treatment for symptomatic flexible flatfoot in children. Short-term studies report excellent clinical and radiographic results. The authors report alterations in clinical parameters in a large proportion of patients. These findings can be due to biomechanical alterations in the years following removal of the screw. Patient foot and ankle-related satisfaction data is promising, although hard to evaluate given the absence of preoperative data.Conclusion: Larger, prospective, controlled studies are required to better evaluate the long-term success of this procedure. |
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Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective StudyResultados a Longo-Prazo da Cirurgia Calcaneo-Stop no Tratamento do Pé Plano Flexível em Crianças: Um Estudo RetrospetivoBone ScrewsCalcaneus/surgeryChildFlatfoot/surgeryMinimally Invasive Surgical ProceduresOrthopedic ProceduresCalcâneo/cirurgiaCriançaPé Chato/cirurgiaParafusos ÓsseosProcedimentos Cirúrgicos Minimamente InvasivosProcedimentos OrtopédicosIntroduction: Flexible flatfoot is common amongst children, although treatment is rarely indicated. The calcaneo-stop procedure has been reported to be effective in short-term studies. We aim to evaluate the long-term outcomes of the calcaneo-stop procedure in the treatment of flexible flatfoot in children.Material and Methods: Twenty-six calcaneo-stop procedures performed between 1995 and 2006 on 13 patients were evaluated clinically and using photopodoscopy, and the FAOS questionnaire was applied for both feet.Results: Of the 26 feet evaluated, 22 presented with heel valgus, 13 had forefoot supination and 11 had abnormal footprints. Median FAOS questionnaire score was 97.22 for ‘Pain’, 92.86 for ‘Other symptoms’, 98.53 for ‘Function in daily living’, 100 for ‘Function in sports and recreation’ and 93.75 for ‘Foot and ankle-related quality of life’.Discussion: The calcaneo-stop procedure is the least invasive and most simple surgical treatment for symptomatic flexible flatfoot in children. Short-term studies report excellent clinical and radiographic results. The authors report alterations in clinical parameters in a large proportion of patients. These findings can be due to biomechanical alterations in the years following removal of the screw. Patient foot and ankle-related satisfaction data is promising, although hard to evaluate given the absence of preoperative data.Conclusion: Larger, prospective, controlled studies are required to better evaluate the long-term success of this procedure.Introdução: O pé plano flexível é comum entre as crianças, embora o tratamento seja raramente indicado. O procedimento calcaneo-stoptem sido reportado como eficaz em estudos a curto prazo. O objetivo deste trabalho é avaliar os resultados a longo prazo do procedimento calcaneo-stop no tratamento do pé plano flexível em crianças.Material e Métodos: Vinte e seis procedimentos calcaneo-stop, realizados entre 1995 e 2006, de 13 doentes, foram avaliados clinicamente e usando fotopodoscopia, e o questionário FAOS foi aplicado para ambos os pés.Resultados: Dos 26 pés avaliados, 22 apresentaram calcanhar valgo, 13 tinham supinação do antepé e 11 tinham pegadas consideradas anormais. As medianas das pontuações do questionário FAOS foram 97,22 para o parâmetro ‘Dor’, 92,86 para ‘Sintomas’, 98,53 para ‘Funcionalidade, vida diária’, 100 para ‘Funcionalidade, desporto e atividades de lazer’ e 93,75 para ‘Qualidade de vida’.Discussão: O procedimento de calcaneo-stop é o tratamento cirúrgico menos invasivo e mais simples para o pé plano flexível sintomático em crianças. Estudos com avaliação a curto prazo relatam excelentes resultados clínicos e radiográficos. Os autores deste estudo reportam alterações nos parâmetros clínicos de uma grande proporção de pacientes. Esses achados podem ser devidos a alterações biomecânicas nos anos seguintes à remoção do parafuso. Os dados relativos à satisfação do paciente em relação ao pé e tornozelo são razoáveis, embora difíceis de avaliar, dada a ausência de dados pré-operatórios.Conclusão: São necessários estudos com mais casos, prospetivos, randomizados e com ocultação, para melhor avaliar o sucesso a longo prazo deste procedimento.Ordem dos Médicos2017-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegapplication/pdfapplication/pdfapplication/pdfimage/tiffapplication/mswordimage/jpegapplication/mswordapplication/pdfapplication/pdfimage/tiffapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137oai:ojs.www.actamedicaportuguesa.com:article/8137Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 541-545Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 541-5451646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/5104https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8697https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8729https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8823https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8824https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8825https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8826https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8904https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8905https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8906https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8907https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8908https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/9405Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessCosta, Francisca PinhoCosta, GilbertoCarvalho, Manuel SantosMoura, António MendesPinto, RuiTorres, João2022-12-20T11:05:26Zoai:ojs.www.actamedicaportuguesa.com:article/8137Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:33.158889Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study Resultados a Longo-Prazo da Cirurgia Calcaneo-Stop no Tratamento do Pé Plano Flexível em Crianças: Um Estudo Retrospetivo |
title |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
spellingShingle |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study Costa, Francisca Pinho Bone Screws Calcaneus/surgery Child Flatfoot/surgery Minimally Invasive Surgical Procedures Orthopedic Procedures Calcâneo/cirurgia Criança Pé Chato/cirurgia Parafusos Ósseos Procedimentos Cirúrgicos Minimamente Invasivos Procedimentos Ortopédicos |
title_short |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
title_full |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
title_fullStr |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
title_full_unstemmed |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
title_sort |
Long-Term Outcomes of the Calcaneo-Stop Procedure in the Treatment of Flexible Flatfoot in Children: A Retrospective Study |
author |
Costa, Francisca Pinho |
author_facet |
Costa, Francisca Pinho Costa, Gilberto Carvalho, Manuel Santos Moura, António Mendes Pinto, Rui Torres, João |
author_role |
author |
author2 |
Costa, Gilberto Carvalho, Manuel Santos Moura, António Mendes Pinto, Rui Torres, João |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Francisca Pinho Costa, Gilberto Carvalho, Manuel Santos Moura, António Mendes Pinto, Rui Torres, João |
dc.subject.por.fl_str_mv |
Bone Screws Calcaneus/surgery Child Flatfoot/surgery Minimally Invasive Surgical Procedures Orthopedic Procedures Calcâneo/cirurgia Criança Pé Chato/cirurgia Parafusos Ósseos Procedimentos Cirúrgicos Minimamente Invasivos Procedimentos Ortopédicos |
topic |
Bone Screws Calcaneus/surgery Child Flatfoot/surgery Minimally Invasive Surgical Procedures Orthopedic Procedures Calcâneo/cirurgia Criança Pé Chato/cirurgia Parafusos Ósseos Procedimentos Cirúrgicos Minimamente Invasivos Procedimentos Ortopédicos |
description |
Introduction: Flexible flatfoot is common amongst children, although treatment is rarely indicated. The calcaneo-stop procedure has been reported to be effective in short-term studies. We aim to evaluate the long-term outcomes of the calcaneo-stop procedure in the treatment of flexible flatfoot in children.Material and Methods: Twenty-six calcaneo-stop procedures performed between 1995 and 2006 on 13 patients were evaluated clinically and using photopodoscopy, and the FAOS questionnaire was applied for both feet.Results: Of the 26 feet evaluated, 22 presented with heel valgus, 13 had forefoot supination and 11 had abnormal footprints. Median FAOS questionnaire score was 97.22 for ‘Pain’, 92.86 for ‘Other symptoms’, 98.53 for ‘Function in daily living’, 100 for ‘Function in sports and recreation’ and 93.75 for ‘Foot and ankle-related quality of life’.Discussion: The calcaneo-stop procedure is the least invasive and most simple surgical treatment for symptomatic flexible flatfoot in children. Short-term studies report excellent clinical and radiographic results. The authors report alterations in clinical parameters in a large proportion of patients. These findings can be due to biomechanical alterations in the years following removal of the screw. Patient foot and ankle-related satisfaction data is promising, although hard to evaluate given the absence of preoperative data.Conclusion: Larger, prospective, controlled studies are required to better evaluate the long-term success of this procedure. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137 oai:ojs.www.actamedicaportuguesa.com:article/8137 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/8137 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/5104 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8697 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8729 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8823 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8824 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8825 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8826 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8904 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8905 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8906 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8907 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/8908 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8137/9405 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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openAccess |
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application/pdf image/jpeg application/pdf application/pdf application/pdf image/tiff application/msword image/jpeg application/msword application/pdf application/pdf image/tiff application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 541-545 Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 541-545 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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