Arthroereisis Versus Lateral Column Lengthening in the Treatment of Planovalgus Feet
Arthroereisis Versus Lateral Column Lengthening in the Treatment of Planovalgus Feet
There is no consensus on the surgical treatment of unremitting, painful flatfeet in children.
 Subtalar arthroereisis has gained notoriety although there is a paucity of literature on its
 biomechanical effects. The goal of the investigators was to compare a group treated with
 subtalar arthroereisis with another group undergoing lateral column calcaneal lengthening.
 The investigators hypothesis was that the results of arthroereisis would be equivalent to the
 more established method of calcaneal lengthening.
The purpose of this prospective, non-randomized study was to evaluate two different surgical
 treatments for symptomatic planovalgus feet: lateral column lengthening osteotomy and
 subtalar arthroereisis. The goal of the investigators was to compare the outcomes of these
 two surgeries and determine whether both treatments resulted in clinical improvement. This
 was accomplished through the use of pre- and post-operative kinematics, pedobarography,
 radiographic measurements, and validated outcome measures. The investigators were
 particularly interested in analyzing the kinematic changes to quantify the changes in the
 foot mobility and alignment during ambulation, as it has not been previously studied to our
 knowledge. The investigators hypothesis was that both procedures would show significant
 improvement and be equivalent in their results.

 A prospective trial was conducted. The investigators enrolled fifteen patients (mean age
 12.8y, 24 feet) with painful, planovalgus feet refractory to conservative treatment. Seven
 patients (13 feet) were enrolled in the arthroereisis group, and eight patients (11 feet)
 were enrolled in the calcaneal lengthening group. Though not specifically excluded, none of
 the enrolled patients had an underlying neuromuscular diagnosis. Kinematic motion analysis
 was performed on each patient prior to surgery and at one year of follow-up. Pedobarometry
 studies, radiographs, and validated outcome questionnaires (Oxford Ankle-Foot Questionnaire
 for Children) were also performed to evaluate the outcomes of both groups.
Inclusion Criteria:

 -  Planovalgus foot deformity

 -  Patient normally ambulates without use of assistive devices

 -  Patient is between the ages of 7 and 17 at the initial evaluation

 Exclusion Criteria:

 -  Hip flexion contractures greater than 15 deg.

 -  Knee flexion contractures greater than 10 deg.

 -  Ankle dorsiflexion less than 0 deg. (plantarflexion contracture)

 -  Taking medication which effects motor control

 -  Inability to follow instructions to perform study