PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS

ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, t...
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Autor*in:	CÍNTIA KELLY BITTAR [verfasserIn] ALBERTO CLIQUET JÚNIOR [verfasserIn] ALEXANDRA MAURIEL DOS REIS [verfasserIn] BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR [verfasserIn] DÉBORA PENNA CHAVES BERTAZZO [verfasserIn] MARIA FERNANDA ROSA DEZAN [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Portugiesisch

Erschienen:	2020

Schlagwörter:	Prostheses and Implants Flatfoot Orthopedic Procedures

Übergeordnetes Werk:	In: Acta Ortopédica Brasileira - Sociedade Brasileira de Ortopedia e Traumatologia, 2004, 28(2020), 5, Seite 212-215
Übergeordnetes Werk:	volume:28 ; year:2020 ; number:5 ; pages:212-215

Links:	Link aufrufen Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1590/1413-785220202805234176

Katalog-ID:	DOAJ086326988

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allfields	10.1590/1413-785220202805234176 doi (DE-627)DOAJ086326988 (DE-599)DOAJb44e840efb474c5f9fe6d8af51649edd DE-627 ger DE-627 rakwb eng por RD701-811 CÍNTIA KELLY BITTAR verfasserin aut PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. Prostheses and Implants Flatfoot Orthopedic Procedures Medicine R Orthopedic surgery ALBERTO CLIQUET JÚNIOR verfasserin aut ALEXANDRA MAURIEL DOS REIS verfasserin aut BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR verfasserin aut DÉBORA PENNA CHAVES BERTAZZO verfasserin aut MARIA FERNANDA ROSA DEZAN verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 28(2020), 5, Seite 212-215 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:28 year:2020 number:5 pages:212-215 https://doi.org/10.1590/1413-785220202805234176 kostenfrei https://doaj.org/article/b44e840efb474c5f9fe6d8af51649edd kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000500212&tlng=en kostenfrei http://www.scielo.br/pdf/aob/v28n5/1809-4406-aob-28-05-212.pdf kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2020 5 212-215
spelling	10.1590/1413-785220202805234176 doi (DE-627)DOAJ086326988 (DE-599)DOAJb44e840efb474c5f9fe6d8af51649edd DE-627 ger DE-627 rakwb eng por RD701-811 CÍNTIA KELLY BITTAR verfasserin aut PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. Prostheses and Implants Flatfoot Orthopedic Procedures Medicine R Orthopedic surgery ALBERTO CLIQUET JÚNIOR verfasserin aut ALEXANDRA MAURIEL DOS REIS verfasserin aut BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR verfasserin aut DÉBORA PENNA CHAVES BERTAZZO verfasserin aut MARIA FERNANDA ROSA DEZAN verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 28(2020), 5, Seite 212-215 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:28 year:2020 number:5 pages:212-215 https://doi.org/10.1590/1413-785220202805234176 kostenfrei https://doaj.org/article/b44e840efb474c5f9fe6d8af51649edd kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000500212&tlng=en kostenfrei http://www.scielo.br/pdf/aob/v28n5/1809-4406-aob-28-05-212.pdf kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2020 5 212-215
allfields_unstemmed	10.1590/1413-785220202805234176 doi (DE-627)DOAJ086326988 (DE-599)DOAJb44e840efb474c5f9fe6d8af51649edd DE-627 ger DE-627 rakwb eng por RD701-811 CÍNTIA KELLY BITTAR verfasserin aut PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. Prostheses and Implants Flatfoot Orthopedic Procedures Medicine R Orthopedic surgery ALBERTO CLIQUET JÚNIOR verfasserin aut ALEXANDRA MAURIEL DOS REIS verfasserin aut BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR verfasserin aut DÉBORA PENNA CHAVES BERTAZZO verfasserin aut MARIA FERNANDA ROSA DEZAN verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 28(2020), 5, Seite 212-215 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:28 year:2020 number:5 pages:212-215 https://doi.org/10.1590/1413-785220202805234176 kostenfrei https://doaj.org/article/b44e840efb474c5f9fe6d8af51649edd kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000500212&tlng=en kostenfrei http://www.scielo.br/pdf/aob/v28n5/1809-4406-aob-28-05-212.pdf kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2020 5 212-215
allfieldsGer	10.1590/1413-785220202805234176 doi (DE-627)DOAJ086326988 (DE-599)DOAJb44e840efb474c5f9fe6d8af51649edd DE-627 ger DE-627 rakwb eng por RD701-811 CÍNTIA KELLY BITTAR verfasserin aut PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. Prostheses and Implants Flatfoot Orthopedic Procedures Medicine R Orthopedic surgery ALBERTO CLIQUET JÚNIOR verfasserin aut ALEXANDRA MAURIEL DOS REIS verfasserin aut BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR verfasserin aut DÉBORA PENNA CHAVES BERTAZZO verfasserin aut MARIA FERNANDA ROSA DEZAN verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 28(2020), 5, Seite 212-215 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:28 year:2020 number:5 pages:212-215 https://doi.org/10.1590/1413-785220202805234176 kostenfrei https://doaj.org/article/b44e840efb474c5f9fe6d8af51649edd kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000500212&tlng=en kostenfrei http://www.scielo.br/pdf/aob/v28n5/1809-4406-aob-28-05-212.pdf kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2020 5 212-215
allfieldsSound	10.1590/1413-785220202805234176 doi (DE-627)DOAJ086326988 (DE-599)DOAJb44e840efb474c5f9fe6d8af51649edd DE-627 ger DE-627 rakwb eng por RD701-811 CÍNTIA KELLY BITTAR verfasserin aut PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease. Prostheses and Implants Flatfoot Orthopedic Procedures Medicine R Orthopedic surgery ALBERTO CLIQUET JÚNIOR verfasserin aut ALEXANDRA MAURIEL DOS REIS verfasserin aut BRUNA MADELEINE DA SILVA SIMPLÍCIO FLÔR verfasserin aut DÉBORA PENNA CHAVES BERTAZZO verfasserin aut MARIA FERNANDA ROSA DEZAN verfasserin aut In Acta Ortopédica Brasileira Sociedade Brasileira de Ortopedia e Traumatologia, 2004 28(2020), 5, Seite 212-215 (DE-627)363749861 (DE-600)2105206-2 14137852 nnns volume:28 year:2020 number:5 pages:212-215 https://doi.org/10.1590/1413-785220202805234176 kostenfrei https://doaj.org/article/b44e840efb474c5f9fe6d8af51649edd kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000500212&tlng=en kostenfrei http://www.scielo.br/pdf/aob/v28n5/1809-4406-aob-28-05-212.pdf kostenfrei https://doaj.org/toc/1413-7852 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 28 2020 5 212-215
language	English Portuguese
source	In Acta Ortopédica Brasileira 28(2020), 5, Seite 212-215 volume:28 year:2020 number:5 pages:212-215
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spellingShingle	CÍNTIA KELLY BITTAR misc RD701-811 misc Prostheses and Implants misc Flatfoot misc Orthopedic Procedures misc Medicine misc R misc Orthopedic surgery PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS
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topic	misc RD701-811 misc Prostheses and Implants misc Flatfoot misc Orthopedic Procedures misc Medicine misc R misc Orthopedic surgery
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title	PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS
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title_sort	pediatric flexible valgus flatfoot correction by arthroereisis
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title_auth	PEDIATRIC FLEXIBLE VALGUS FLATFOOT CORRECTION BY ARTHROEREISIS
abstract	ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
abstractGer	ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
abstract_unstemmed	ABSTRACT Objective: This article aimed to evaluate the efficacy of arthroereisis using synthetic polyethylene implants to correct excessive valgus deformity in pediatric patients with flexible valgus flatfoot. Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. Level of Evidence II, Prognostic studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
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Methods: Retrospective study of 20 pediatric patients with flexible valgus flatfoot, totaling 23 feet, between five and 14 years old, operated between January 2009 and July 2016. Clinical evaluations were performed by the Valenti podoscopic classification and the American Orthopaedic Foot & Ankle Society criteria, based on radiographic images and podoscopic analysis. These patients underwent surgical treatment with the introduction of a synthetic implant in the sinus tarsi. Multiple linear regression analysis with Backward selection of variables, angles of pre and postoperative of radiographic images of the patients submitted to arthroereisis were performed. Results: The arthroereisis with interposition of synthetic material was satisfactory, considering that 91% of the cases presented clinical and radiographic improvement, with correction of angles and improvement in deformity degrees. Two cases presented implant loosening. The variables of the Bordelon and Pitch angles significantly influenced (p < 0,05) the improvement of the correction of deformity degrees. Conclusion: The arthroereisis with the interposition of synthetic polyethylene material showed to be an effective technique for flexible flatfoot in symptomatic pediatric patients. 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