flatfoot
Conditions
Interventions
Experimental group:Minimally invasive subtalar brake implantation was performed
Control group:Standard conservative treatment was given
Sponsors
Hand and Foot Surgery Department, Shenzhen Second People's Hospital
Eligibility
Sex/Gender
All
Age
8 Years to 10 Years
Inclusion criteria
Inclusion criteria: 1.Juvenile patients aged 8 to 10 years; 2.The patient and the legal guardian both fully informed consent to the treatment plan and signed the informed consent form for the corresponding group to participate in this study; 3.Weight-bearing X-ray or CT examinations suggest calcaneal valgus, reduced or disappeared arch, excessive pronation, hindfoot deformity can be passively corrected, heel lift test is positive (heel inversion when standing with heel lift), Jack test Positive (the arch of the foot is enlarged when the toe is stretched back), Viladot's foot print grading is grade 2 or above, accompanied by pain symptoms; 4.With or without gait abnormalities; 5.X-ray or CT examination of weight-bearing position showed reduction of medial longitudinal arch, subluxation of the talus head, closed sinus tarsal, and axial X-ray showed calcaneal valgus. At least meet the following four or more: (1)Flexible, reversible flat feet; (2) Kite angle>25 degree; (3) Moreau-Costa-Baotani angle>130 degree; (4) Meary angle 10 degree, Achilles tendon shortening.
Exclusion criteria
Exclusion criteria: 1.It is determined that the patient has rigid flat feet rather than flexible flat feet; 2.The patient's existing foot bone, ligament, cartilage injury, vascular and nerve injury, arthritis, joint infection, etc.; 3.The patient has a history of foot trauma, tumor, and surgery; 4.Patients are unwilling to cooperate or unable to cooperate with the trial, and fail to follow the doctor's instructions during the perioperative period; 5.Patients fail to follow up regularly and fail to obtain complete follow-up data.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Calcaneal pitch angle, CPA;The arch angle pitch of weight-bearing X-ray film increased by 10° or more; Reduce heel valgus to less than 5°; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analogue scale, VAS;Viladot Grading of footprint;American Orthopaedic Foot&Ankle Society, AOFAS;Meary’s angle;Talocalcaneal angle, TCA;Talar 1st metatarsal angle, T1MT;Talar 2nd metatarsal angle, T2MT;Talar navicular coverage angle ;Complications;Arch and heel;Gait; | — |
Countries
China
Contacts
Public ContactLi Wencui
Shenzhen Second People's Hospital
Outcome results
None listed