Department of Orthopaedic Surgery, Hôpital Pierre Zobda Quitman, 97261 Fort-de-France Cedex, France.
Department of Orthopaedic Surgery, Hôpital Pierre-Paul Riquet, 31059 Toulouse, France; I2R, Institut de Recherche Riquet, 31059 Toulouse, France.
Orthop Traumatol Surg Res. 2021 Oct;107(6):103002. doi: 10.1016/j.otsr.2021.103002. Epub 2021 Jun 30.
The aim of the present systematic literature review was to determine results and complications in subtalar arthroereisis for stage-2 adult-acquired flatfoot.
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.
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.
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.
IV.
本系统文献回顾的目的是确定 2 期成人获得性平足症距下关节融合术的结果和并发症。
使用 MeSH 术语“关节融合术”和“平足”或“成人获得性平足”或“足舟状骨内翻”或“扁平足”对 PubMed、Medline、CINAHL、Cochrane 和 Embase 数据库进行搜索。两位作者分析了 125 篇文章。在阅读标题和摘要后，全文阅读了 105 篇文章，并对其参考文献进行了分析。最后，选择了 12 篇文章，并将其分为 2 组：单纯和联合关节融合术。
联合关节融合术的功能评分改善更大。无论是单纯还是联合，关节融合术都能达到放射学矫正。然而，并发症发生率很高，主要与跗骨窦疼痛有关。
2 期成人获得性平足症距下关节融合术很少单独进行。当与其他手术联合应用时，可以获得良好的影像学和临床效果。
IV。
