Author
Listed:
- Cheng-Min Hsu
(Department of Orthopedic Surgery, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan 333, Taiwan)
- Sheng-Chieh Lin
(Department of Orthopedic Surgery, Chung Shan Medical University Hospital, Taichung 402, Taiwan)
- Kuan-Wen Wu
(Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 100, Taiwan)
- Ting-Ming Wang
(Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 100, Taiwan)
- Jia-Feng Chang
(Department of Internal Medicine, Shuang Ho Hospital, New Taipei City 235, Taiwan
Department of Internal Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan)
- Chia-Che Lee
(Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 100, Taiwan)
Abstract
In this retrospective study, we aim to assess the safety and feasibility of adapting subtalar arthroereisis (SA) for type I osteogenesis imperfecta (OI) patients with symptomatic flatfoot. From December 2013 to January 2018, six type I OI patients (five girls and one boy, 12 feet) with symptomatic flexible flatfoot were treated with SA and the Vulpius procedure. All the patients were ambulatory and skeletally immature with failed conservative treatment and unsatisfactory life quality. The median age at the time of surgery was 10 years (range 5–11), and the median follow-up period was 55 months (range 33–83). All functional and radiographic parameters improved ( p < 0.05) after the procedure at the latest follow-up. The median American Orthopaedic Foot and Ankle Society ankle-hindfoot scale improved from 68 (range 38–80) to 95 (range 71–97). All of the patients ambulated well without significant complications. The weight-bearing radiographs showed maintained correction of the tarsal bone alignment with intact bony surfaces adjacent to implants during the post-operative follow-up period. This is the very first study on symptomatic flatfoot in pediatric patients with type I OI. Our data suggest that SA is a potentially viable approach, as functional improvements and maintained radiographic correction without significant complication were observed.
Suggested Citation
Cheng-Min Hsu & Sheng-Chieh Lin & Kuan-Wen Wu & Ting-Ming Wang & Jia-Feng Chang & Chia-Che Lee, 2020.
"Preliminary Results of Subtalar Arthroereisis with Vulpius Procedure for Symptomatic Flatfoot in Patients with Type I Osteogenesis Imperfecta,"
IJERPH, MDPI, vol. 18(1), pages 1-9, December.
Handle:
RePEc:gam:jijerp:v:18:y:2020:i:1:p:67-:d:467470
Download full text from publisher
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:67-:d:467470. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.