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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2002, Number 4

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Acta Ortop Mex 2002; 16 (4)

Treatment for elastic flat-foot in children, by expansion endorthesis in the tarsal canal

Guzmán RO, Peláez SS

Language: Spanish
References: 18
Page: 207-210
PDF size: 45.53 Kb.


ABSTRACT

Objective. To present the results of flat foot surgical treatment by an expansion endorthesis in the tarsal canal. Material and methods. A series of 16 children of both genders, aged 6 to 14 years, were operated on both feet by an expansion endorthesis because of simple and elastic flat foot, for a whole 32 feet. All cases had had previous treatment by diverse in-soles as a criterion for inclusion. Results. Clinical and radiological results demonstrated full correction in the feet of 14 out of the 16 operated on patients. An average X-ray correction of 30 degrees in dorsal projection was obtained at the talus-first metatarsal angle as well as 40 degrees in the lateral view for the Costa-Bertani angle. Average operating time was 16 minutes. Conclusion. This is a safe and simple procedure that enhances a good correction of flat foot, without a true arthrodesis or anything that meant a definitive invasion to the child’s skeleton.


REFERENCES

  1. Anaya VS. Mediciones radiográficas en ortopedia y traumatología, sin ed., México D.F., IMSS HTOMS: 156-189.

  2. Carranza BA, et al. Viladot’s operation in the treatment of the Child’s Flat foot. Foot Ankle Int. 1997; 18(9): 544-9.

  3. Espinosa UE. Tratamiento del pie valgo-pronado durante la infancia y la adolescencia con la endortesis cónica de polietileno. Rev Mex Ortop Traum 1999; (13)3: 167-73.

  4. Gianini S, et al. The surgical treatment of infantile flat foot. Ital J Orthop Traumatol 1985; 9(3): 315-22.

  5. Gianini S. Operative treatment of the flat foot: why and how. Foot Ankle Int. 1998; 19(1): 52-7.

  6. Kapanji. Cuadernos de fisiología articular, 4a ed., Barcelona, Masson, Vol. II, 1990: 180-226.

  7. Lelievre J. Patología del pie, 4a ed., Barcelona, Masson, 1993: 423-443.

  8. Luke BR. Hypermobile flat foot in children. Clin Orthop Rel Res 1983; (181): 7-14.

  9. Mann AR. Cirugía del pie. 5a ed., Argentina, Panamericana, 1987: 284-292.

  10. Muñoz GJ. Atlas de mediciones radiográficas en ortopedia y traumatología. 1ra. Ed., México D.F., Mc Graw-Hill, 1999: 311-323.

  11. Powell HD, et al. Pes planus valgus in children. Clin Orthop Rel Res 1983; (177): 133-9.

  12. Sáenz CVM. El manejo de pie plano en el niño. Revisión de resultados en 50 pacientes tratados mediante la técnica J. Lelievre., sin ed., México D.F., IMSS HTOLV, 1989: 1-40.

  13. Sanchez AA, et al. Subtalar staple arthrorisis for planovalgus foot deformity in children with neuromuscular disease. J Orthop Pediat 1999; 19(1): 34-8.

  14. Smith SD, et al, Arthrorisis by means of a subtalar polyethylene peg implant for correction of hindfoot pronation in children. Clin Orthop Rel Res 1983; 181: 15-23.

  15. Sobell E, et al. Natural history of the rearfoot angle: preliminar values in 150 children. Foot Ankle Int 1999; 20(2): 119-25.

  16. Tachdjian OM. Ortopedia pediátrica, 2da ed., México D. F., Mc Graw-Hill, Vol. IV, 1990: 2927-2970.

  17. Tareco MJ. Defining flat foot. Foot Ankle Int 1999; 20(7): 456-60.

  18. Varios. Guía práctica para el manejo de pie plano valgo en unidades de primer nivel, sin ed., México D.F., IMSS HTOLV Servicio Ortopedia Pediátrica: 3-10.




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