Is subtalar arthroereisis a good procedure in adult-acquired flatfoot? A systematic review of the literature - 06/10/21

Doi : 10.1016/j.otsr.2021.103002

Lucas Mattesi ^a, David Ancelin ^b,^c, Mathieu Pierre Severyns ^a,⁎
^a Department of Orthopaedic Surgery, Hôpital Pierre Zobda Quitman, 97261 Fort-de-France Cedex, France
^b Department of Orthopaedic Surgery, Hôpital Pierre-Paul Riquet, 31059 Toulouse, France
^c I2R, Institut de Recherche Riquet, 31059 Toulouse, France

^⁎Corresponding author.

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Abstract

Introduction

The aim of the present systematic literature review was to determine results and complications in subtalar arthroereisis for stage-2 adult-acquired flatfoot.

Method

A search of the PubMed, Medline, CINAHL, Cochrane and Embase databases used MeSH terms “arthroereisis” AND “flatfoot” OR “adult-acquired flatfoot” OR “pes planovalgus” OR “pes planus”. Two of the authors analyzed 125 articles. After reading titles and Abstracts, 105 articles were read in full text and their references were analyzed. Finally, 12 articles were selected and divided into 2 groups: isolated and associated arthroereisis.

Results

Improvement in functional scores was greater in associated arthroereisis. Whether isolated or associated, arthroereisis achieved radiologic correction. However, the rate of complications was high, mainly concerning tarsal sinus pain.

Conclusion

Subtalar arthroereisis for stage-2 adult-acquired flatfoot is rarely performed in isolation. When it is associated to other procedures, good radiologic and clinical results can be expected.