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Research ArticleOriginal Article
Open Access

Satisfactory outcomes of post-operative subtalar extra-articular arthroereisis in juvenile flexible flat foot

Abdulmonem M. Alsiddiky, Abdulaziz A. Alsubaie, Abdulaziz O. Almuhanna, Nawaf M. Alsubaie, Faisal A. Alsaleh, Hassan M. Alhazzani, Bader H. Alruwaily, Mohammad S. Alzahrani, Khalid A. Bakarman and Naief S. Alghnimei
Saudi Medical Journal January 2023, 44 (1) 85-90; DOI: https://doi.org/10.15537/smj.2023.44.1.20220607
Abdulmonem M. Alsiddiky
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
MD, SSCO
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Abdulaziz A. Alsubaie
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
MBBS
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Abdulaziz O. Almuhanna
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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  • For correspondence: [email protected]
Nawaf M. Alsubaie
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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Faisal A. Alsaleh
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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Hassan M. Alhazzani
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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Bader H. Alruwaily
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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Mohammad S. Alzahrani
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
Roles: Medical student
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Khalid A. Bakarman
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
MBBS, SBIO
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Naief S. Alghnimei
From the Department of Orthopedic Surgery, Research chair of spinal deformities (Alsiddiky, A. Alsubaie, Bakarman, Alghnimei), King Saud University, and from the College of Medicine (Almuhanna, M. Alsubaie, Alsaleh, Alhazzani, Alruwaily, Alzahrani), King Saud University, Riyadh, Kingdm of Saudi Arabia.
MBBS
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  • Article
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Article Figures & Data

Figures

  • Tables
  • Figure 1
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    Figure 1

    - The minimally invasive skin incision at the level of the sinus tarsi is approximately 2 cm.

  • Figure 2
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    Figure 2

    - Preoperative (left) and postoperative (right) anterior view showing realignment and correction of flatfoot deformity.

  • Figure 3
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    Figure 3

    - Comparison of right foot which shows correction of hindfoot eversion and collapse of the arch postoperatively, in comparison to the left foot prior to operation.

Tables

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    Table 1

    - Characteristics of the patients (N=65).

    Variablesn (%)
    Age, mean12.03
    On which foot was the operation carried out?
    Right
    Left
    Both feet
    6 (9.2)
    3 (4.6)
    56 (86.1)
    How much improvement was recognized in the shape of the foot, comparing before and after the operation?
    Significant improvement
    Partial improvement
    No improvement
    39 (60.0)
    20 (30.8)
    6 (9.2)
    How much improvement was noticed in terms of foot pain, comparing before and after the operation?
    Significant improvement
    Partial improvement
    No change in painIncrease in pain
    27 (41.5)
    26 (40.0)
    6 (9.2)
    6 (9.2)
    How much improvement was noticed in the ability to walk, comparing before and after the operation?
    Ability to walk long distances
    Ability to walk short distances
    Unable to walk
    27 (41.5)
    23 (35.4)
    15 (23.1)
    How much improvement was noticed in the ability to jump and play, comparing before and after the operation?
    Significant improvement
    Partial improvement
    Unable to jump and play
    23 (35.4)
    19 (29.2)
    23 (35.4)
    How much improvement was noticed in the ability to wear shoes, comparing before and after the operation?
    Significant improvement
    Partial improvement
    Unable to wear shoes
    36 (55.4)
    14 (21.5)
    15 (23.1)
    Was the metal fragment extracted after the procedure? (any duration postoperative)
    Yes
    No
    4 (6.1)
    61 (93.8)
    If the answer to the previous question was yes, which foot was the metal fragment removed from?
    Right
    Left
    Both feet
    1 (25.0)
    2 (50.0)
    1 (25.0)
    What was the duration before removal of the metal fragment?
    <1 year
    1-3 years
    >3 years
    1 (25.0)
    2 (50.0)
    1 (25.0)

    Values are presented as numbers and precentages (%).

      • View popup
      Table 2

      - Characteristics of the patients by age group.

      Variables<12 years (n=26)≥12 years (n=39)P-values
      On which foot was the operation carried out?
      Right
      Left
      Both feet
      3 (11.5)
      0 (0.0)
      23 (88.5)
      3 (7.7)
      3 (7.7)
      33 (84.6)
      0.32
      How much improvement was recognized in the shape of the foot, comparing before and after the operation?
      Significant improvement
      Partial improvement
      No improvement
      16 (61.5)
      10 (38.5)
      0 (0.0)
      23 (59.0)
      10 (25.6)
      6 (15.4)
      0.088
      How much improvement was noticed in terms of foot pain, comparing before and after the operation?
      Significant improvement
      Partial improvement
      No change in painIncrease in pain
      12 (46.1)
      12 (46.1)
      0 (0.0)
      2 (7.7)
      15 (38.5)
      14 (35.9)
      6 (15.4)
      4 (10.3)
      0.192
      How much improvement was noticed in the ability to walk, comparing before and after the operation?
      Ability to walk long distances
      Ability to walk short distances
      Unable to walk
      10 (38.5)
      11 (42.3)
      5 (19.2)
      17 (43.6)
      12 (30.8)
      10 (25.6)
      0.618
      How much improvement was noticed in the ability to jump and play, comparing before and after the operation?
      Significant improvement
      Partial improvement
      Unable to jump and play
      12 (46.1)
      6 (23.1)
      8 (30.8)
      11 (28.2)
      13 (33.3)
      15 (38.5)
      0.326
      How much improvement was noticed in the ability to wear shoes, comparing before and after the operation?
      Significant improvement
      Partial improvement
      Unable to wear shoes
      15 (57.7)
      5 (19.2)
      6 (23.1)
      21 (53.8)
      9 (23.1)
      9 (23.1)
      0.928
      Was the metal fragment extracted after the procedure? (any duration postoperative)
      Yes
      No
      2 (7.7)
      24 (92.3)
      2 (5.1)
      37 (94.9)
      0.673
      If the answer to the previous question was yes, which foot was the metal fragment removed from?
      Right
      Left
      Both feet
      0 (0.0)
      1 (50.0)
      1 (50.0)
      1 (50.0)
      1 (50.0)
      0 (0.0)
      0.368
      What was the duration before removal of the metal fragment?
      <1 year
      1-3 years
      >3 years
      0 (0.0)
      2 (100)
      0 (0.0)
      1 (50.0)
      0 (0.0)
      1 (50.0)
      0.135

      Values are presented as numbers and precentages (%).

        • View popup
        Table 3

        - Characteristics of the patients by foot.

        VariablesOne foot (right or left), n=9Two feet (n=56)P-values
        On which foot was the operation carried out?
        Significant improvement
        Partial improvement
        No improvement
        5 (55.6)
        1 (11.1)
        3 (33.3)
        34 (60.7)
        19 (33.9)
        3 (5.4)
        0.019*
        How much improvement was recognized in the shape of the foot, comparing before and after the operation?
        Significant improvement
        Partial improvement
        No change in painIncrease in pain
        4 (44.4)
        4 (44.4)
        1 (11.1)
        0 (0.0)
        23 (41.1)
        22 (39.3)
        5 (8.9)
        6 (10.7)
        0.783
        How much improvement was noticed in the ability to walk, comparing before and after the operation?
        Ability to walk long distances
        Ability to walk long distances
        Unable to walk
        2 (22.2)
        5 (55.6)
        2 (22.2)
        25 (44.6)
        18 (32.1)
        13 (23.2)
        0.343
        How much improvement was noticed in the ability to jump and play, comparing before and after the operation?
        Significant improvement
        Partial improvement
        Unable to jump and play
        1 (11.1)
        3 (33.3)
        5 (55.6)
        22 (39.3)
        16 (28.6)
        18 (32.1)
        0.223
        How much improvement was noticed in the ability to wear shoes, comparing before and after the operation?
        Significant improvement
        Partial improvement
        Unable to wear shoes
        4 (44.4)
        1 (11.1)
        4 (44.4)
        32 (57.1)
        13 (23.2)
        11 (19.6)
        0.244
        Was the metal fragment extracted after the procedure? (any duration postoperative)
        Yes
        No
        0 (0.0)
        9 (100)
        4 (7.1)
        52 (92.9)
        0.408
        If the answer to the previous question was yes, which foot was the metal fragment removed from?
        Right
        Left
        Both feet
        0 (0.0)
        0 (0.0)
        0 (0.0)
        1 (25.0)
        2 (50.0)
        1 (25.0)
        What was the duration before removal of the metal fragment?
        <1 year
        1-3 years
        >3 years
        0 (0.0)
        0 (0.0)
        0 (0.0)
        1 (25.0)
        2 (50.0)
        1 (25.0)

        Values are presented as numbers and precentages (%).

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        Satisfactory outcomes of post-operative subtalar extra-articular arthroereisis in juvenile flexible flat foot
        Abdulmonem M. Alsiddiky, Abdulaziz A. Alsubaie, Abdulaziz O. Almuhanna, Nawaf M. Alsubaie, Faisal A. Alsaleh, Hassan M. Alhazzani, Bader H. Alruwaily, Mohammad S. Alzahrani, Khalid A. Bakarman, Naief S. Alghnimei
        Saudi Medical Journal Jan 2023, 44 (1) 85-90; DOI: 10.15537/smj.2023.44.1.20220607

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        Satisfactory outcomes of post-operative subtalar extra-articular arthroereisis in juvenile flexible flat foot
        Abdulmonem M. Alsiddiky, Abdulaziz A. Alsubaie, Abdulaziz O. Almuhanna, Nawaf M. Alsubaie, Faisal A. Alsaleh, Hassan M. Alhazzani, Bader H. Alruwaily, Mohammad S. Alzahrani, Khalid A. Bakarman, Naief S. Alghnimei
        Saudi Medical Journal Jan 2023, 44 (1) 85-90; DOI: 10.15537/smj.2023.44.1.20220607
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        Keywords

        • arthroereisis
        • flatfoot
        • sinus tarsi implant
        • patient satisfaction
        • surveys and questionnaires

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