Foot and Ankle Surgery
Volume 15, Issue 4 , Pages 174-178, December 2009

The stop screw technique—A simple and reliable method in treating flexible flatfoot in children

  • Joerg Jerosch, Dr.med.Dr.h.c.

      Affiliations

    • Johanna-Etienne Hospital, Am Hasenberg 46, 41462 Neuss, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 2131 529 2001; fax: +49 2131 529 2015.
    • ,
  • Jochem Schunck

      Affiliations

    • Johanna-Etienne Hospital, Am Hasenberg 46, 41462 Neuss, Germany
    • ,
  • Hazem Abdel-Aziz

      Affiliations

    • El-Hadra Orthopaedic and Traumatology University Hospital, Alexandria University, Egypt

Received 7 January 2008; received in revised form 4 January 2009; accepted 23 January 2009. published online 02 March 2009.

Abstract 

Purpose

The purpose of this study was to evaluate the stop screw method inserted with a minimal invasive technique in the treatment of flexible flatfoot in children.

Materials and methods

We evaluated the results in a series of 21 flat feet in the age group ranging from 8 to 14 years between 1999 and 2007. The correction was evaluated clinically by assessment of heel valgus angle, range of motion of the ankle joint, and the photopodographic grading. The radiological assessment was performed by measuring the talonavicular angulation (Meary's line).

Results

At time of follow-up there was significant improvement in the heel valgus angle during rest and during tiptoe standing, significant improvement in the dorsiflexion from neutral position, and in podographic grading. Radiologically talonavicular angulation improved significantly from 162±8.9° preoperatively to 174±5.8° postoperatively.

Conclusion

We can conclude that subtalar arthroereisis is relatively simple, effective, and minimally invasive procedure in treating flexible flatfoot in pediatric age.

Keywords: Stop screw, Flexible flatfoot

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1268-7731(09)00019-8

doi:10.1016/j.fas.2009.01.004

Foot and Ankle Surgery
Volume 15, Issue 4 , Pages 174-178, December 2009

Article Tools

* Image Usage & Resolution