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Post a Comment Analysis of the results of the surgical treatment of plano-valgus foot deformity in children and adolescent
- Authors: Trankovskiy S.E.1,2, Protsko V.G.1,3, Akhpashev A.A.2
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Affiliations:
- Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency of Russia
- Academy of Postgraduate Education Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency
- Peoples' Friendship University of Russia
- Issue: Vol 14, No 1 (2023)
- Pages: 77-83
- Section: Original Study Articles
- URL: https://journal-vniispk.ru/clinpractice/article/view/142807
- DOI: https://doi.org/10.17816/clinpract110806
- ID: 142807
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Abstract
Background: Plano-valgus deformity of the feet is a common reason for contacting an orthopedist. Pediatric orthopedics uses technologies, in particular, subtalar arthroeresis, that do not violate the physiological growth of the patient.
Aim: to choose the optimal methods for the correction of foot deformity in children and adolescents. Analysis of the results of the surgical treatment.
Methods: In the period from 2013 to 2022, 482 patients were operated on for flat-foot deformity. Subtalar arthroeresis surgery was performed in 405 cases in various combinations.
Results: The 9-year-long observation of the patients after the surgical treatment showed that in most cases there was a persistent positive effect, namely: no complaints of pain syndrome, no clinical and radiological pictures of a plano-valgus foot, patients led an active lifestyle, including sports. On average, after 17.7 months, 66 cases (16.1%) required replacement of the subtalar implant due to the physiological growth of patients. In 125 cases (31.2%) the implant was removed on average 31.2 months after placement. Unsatisfactory results were noted in 14 patients (3.4%).
Conclusions: The technique of subtalar arthroeresis, as a low-traumatic one, does not interfere with the physiological growth of the foot skeleton, does not limit physiological loads after the surgical treatment, and is actively used in the childhood and adolescence. The peculiarity of the subtalar arthroeresis in a patient with the physiological growth of the foot skeleton is a high probability of the subtalar implant replacement.
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##article.viewOnOriginalSite##About the authors
Sergey E. Trankovskiy
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency of Russia; Academy of Postgraduate Education Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency
Author for correspondence.
Email: doctseort@yandex.ru
ORCID iD: 0000-0002-7118-8528
SPIN-code: 5017-4839
врач травматолог–ортопед отделения травматологии и ортопедии, сотрудник кафедры травматологии и ортопедии
Russian Federation, 20 Moskvorechye street, 115409 Moscow; MoscowVictor G. Protsko
Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency of Russia; Peoples' Friendship University of Russia
Email: 89035586679@mail.ru
SPIN-code: 4628-7919
MD, PhD
Russian Federation, 20 Moskvorechye street, 115409 Moscow; MoscowAlexander A. Akhpashev
Academy of Postgraduate Education Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency
Email: akhpashev@gmail.com
ORCID iD: 0000-0002-2938-5173
SPIN-code: 9965-1828
MD, PhD
Russian Federation, MoscowReferences
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