Comparing the clinical outcomes of arthroereisis and osteotomy in the treatment of paediatric patients with idiopathic flexible pes planus: a systematic review and meta-analysis - Summary - MDSpire
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Evaluating the clinical effectiveness of arthroereisis versus osteotomy for treating idiopathic flexible flatfoot in children: a systematic review and meta-analysis
To compare the clinical effectiveness of subtalar arthroereisis and osteotomy in treating symptomatic idiopathic flexible flatfoot in children, with a focus on both radiographic parameters and patient-reported outcome measures.
Key Findings:
Subtalar arthroereisis is gaining popularity as a minimally invasive procedure with lower complication rates, suggesting a shift in treatment paradigms.
Osteotomies remain a traditional surgical option but may involve higher complication rates and longer recovery, indicating a need for careful patient selection.
Both procedures showed improvements in radiographic parameters and patient-reported outcomes, highlighting their effectiveness.
Interpretation:
The findings suggest that both subtalar arthroereisis and osteotomy can effectively treat symptomatic idiopathic flexible flatfoot in children, but further high-quality studies are needed to strengthen the evidence base.
Limitations:
Variability in study designs and quality of evidence may affect the reliability of the findings.
Limited number of studies directly comparing both interventions restricts comprehensive conclusions.
Potential biases in patient selection and outcome reporting could influence the results.
Conclusion:
Both subtalar arthroereisis and osteotomy are viable surgical options for treating symptomatic idiopathic flexible flatfoot in children, with arthroereisis offering a less invasive alternative. However, further high-quality studies are needed to strengthen the evidence base.
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