Outcomes of the “Calcaneo-stop” procedure for treating symptomatic flexible flatfoot in children: A systematic review and meta-analysis of 2394 feet

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-04-26 DOI:10.1016/j.fas.2024.04.011

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Abstract

Background

This study evaluates the efficacy of the calcaneo-stop (C-Stop) procedure's effectiveness in treating symptomatic flexible flatfoot (FFF) in children.

Methods

A systematic review and meta-analysis were conducted using PubMed, Embase, and Cochrane databases to identify studies until 2023 on the outcomes of the C-Stop procedure in children with FFF. The risk of bias was assessed using MINORS criteria.

Results

Of 85 studies screened, 20 involving 2394 feet from 1415 patients (mean age 11.2 ± 1.3 years) were included. Post-procedure, significant improvements were noted in pain reduction (93.5%), heel alignment (95.21%), and radiological measures, including reductions in Kite (7.32º), Meary (11.65º), Costa-Bartani angles (17.11º), talar declination (12.63º) and increase in Calcaneal Pitch Angle (5.92º). AOFAS scores increased by 22.32 points on average, with 94.83% reporting high satisfaction. Complication rate was low (7.8%).

Conclusions

The C-Stop procedure is effective for treating FFF in children, offering significant clinical, radiological, and functional improvements with high patient satisfaction and a low complication rate.

Level of evidence

Level IV, Systematic review of Level-IV studies

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卡尔卡尼奥止血术 "治疗儿童症状性柔性扁平足的效果：对 2394 例足部病例的系统回顾和荟萃分析。

背景：本研究评估了Calcaneo-stop（C-Stop）疗法治疗儿童症状性柔性扁平足的疗效：本研究评估了Calcaneo-stop（C-Stop）手术治疗儿童症状性柔性扁平足（FFF）的疗效：利用PubMed、Embase和Cochrane数据库进行了系统回顾和荟萃分析，以确定2023年前有关C-Stop术治疗儿童软性扁平足疗效的研究。采用 MINORS 标准对偏倚风险进行了评估：结果：在筛选出的 85 项研究中，有 20 项被纳入，涉及 1415 名患者（平均年龄为 11.2 ± 1.3 岁）的 2394 只脚。术后，患者的疼痛减轻率（93.5%）、足跟对齐率（95.21%）和放射学指标均有明显改善，包括Kite角（7.32º）、Meary角（11.65º）、Costa-Bartani角（17.11º）、距骨下倾角（12.63º）的减少和跗骨俯仰角（5.92º）的增加。AOFAS评分平均提高了22.32分，94.83%的患者表示非常满意。并发症发生率很低（7.8%）：结论：C-Stop手术对治疗儿童FFF有效，可显著改善临床、放射学和功能，患者满意度高，并发症发生率低：证据级别：IV级，IV级研究的系统回顾。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.