A Review of the Effectiveness of Arthroereisis Implant in Adults with Acquired Flatfoot Deformity
Paolo Ceccarini1, Rosario Petruccelli1*, Marco Corzani2, Lorenzo Maria Di Giacomo1, Giuseppe Rinonapoli1, Pierluigi Antinolfi1 and Auro Caraffa1
1SM Misericordia Hospital Orthopaedic and Traumatology Department, University of Perugia, Italy
2Villa Maria Private Hospital, Rimini, Italy
*Corresponding Author: Rosario Petruccelli, SM Misericordia Hospital Orthopaedic and Traumatology Department, University of Perugia, Italy.
November 09, 2021; Published: January 25, 2022
The role of arthroereisis in adult flatfoot has been debated for years. Arthroereisis procedures were originally designed for the treatment of pediatric deformities, that is: correction of the flatfoot while preserving foot function, subtalar joint locking device into the sinus tarsi or tarsal canal. The purpose of this study was to review the literature on arthroereisis implants in adults. The literature was reviewed from 2003 to 2019. 13 articles were included in the study. Most were level 4 evidence. Over all outcomes were good, but the overall study quality was poor. The authors recommend further studies in the topic. Methods: In January 2020 a topical review of the PubMed/MEDLINE, EMBASE database was conducted. This review identified 13 studies focusing on the use of arthroereisis in adults with flatfoot, for a total of 456 feet in 431 patients, with a mean age of 46.3 years and median follow-up of 35 months. Results:: The current evidence for the treatment is limited to retrospective case series. The clinical results are encouraging but the removal of the implant remains controversial. Conclusion: The degree of recommendation in adults is level IV. There is no consensus related to what kind of implant should be indicated. Finally, to definitively validate the success of arthroereisis procedure prospective and comparative studies are indispensable.
Keywords: Adult-acquired Flatfoot Deformity; Arthroereisis; Flexible Flatfoot; Posterior Tibial Tendon
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