Royal Berkshire NHS Foundation Trust, Reading, UK.
Ashford and St Peter's Hospitals NHS Trust, Chertsey, UK.
Foot Ankle Spec. 2022 Aug;15(4):384-393. doi: 10.1177/1938640020987775. Epub 2021 Jan 29.
Adult acquired flatfoot deformity (AAFD) is a condition affecting approximately 3% of the adult population. It can lead to severe morbidity, and therefore, prompt treatment is of the upmost importance in maintaining and restoring function. Recently, the use of subtalar arthroereisis has become more widespread in the treatment of AAFD. The purpose of this systematic review is to examine the clinical and radiological outcomes of AAFD when treated with subtalar arthroereisis.
Studies involving the use of subtalar arthroereisis for the management of AAFD were reviewed, and appropriate studies selected based on inclusion and exclusion criteria. Studies were reviewed for both clinical and radiological outcomes following the use of subtalar arthroereisis as well as reported complications.
Nine studies met our inclusion criteria, with most of these involving stage II AAFD. A total of 190 subtalar arthroereisis procedures were performed with all studies demonstrating improvement in both clinical and radiological scores with a low rate of complications.
Subtalar arthroereisis may have benefits when used as an adjunct to treat stage II AAFD. However, more high-quality studies are needed to establish its best use.
.
成人获得性平足畸形（AAFD）是一种影响约 3%成年人的疾病。它可能导致严重的发病率，因此，及时治疗对于维持和恢复功能至关重要。最近，距下关节融合术在 AAFD 的治疗中应用越来越广泛。本系统评价的目的是检查距下关节融合术治疗 AAFD 的临床和影像学结果。
回顾了使用距下关节融合术治疗 AAFD 的研究，并根据纳入和排除标准选择了适当的研究。评估了距下关节融合术治疗 AAFD 后的临床和影像学结果以及报告的并发症。
符合纳入标准的研究有 9 项，其中大多数涉及 II 期 AAFD。总共进行了 190 例距下关节融合术，所有研究均显示临床和影像学评分均有改善，并发症发生率低。
距下关节融合术作为 II 期 AAFD 的辅助治疗可能有益。然而，需要更多高质量的研究来确定其最佳用途。
.
