Systematic Reviews
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2021; 12(6): 433-444
Published online Jun 18, 2021. doi: 10.5312/wjo.v12.i6.433
Arthroereisis in juvenile flexible flatfoot: Which device should we implant? A systematic review of literature published in the last 5 years
Andrea Vescio, Gianluca Testa, Mirko Amico, Claudio Lizzio, Marco Sapienza, Piero Pavone, Vito Pavone
Andrea Vescio, Gianluca Testa, Mirko Amico, Claudio Lizzio, Marco Sapienza, Vito Pavone, Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, University Hospital Policlinico-San Marco, University of Catania, Catania 95123, Italy
Piero Pavone, Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, University of Catania, Catania 95123, Italy
Author contributions: All the authors contributed equally to this work.
Conflict-of-interest statement: The authors have no competing interests to declare.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vito Pavone, MD, PhD, Associate Professor, Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, University Hospital Policlinico-San Marco, University of Catania, Via Santa Sofia, 78, Catania 95123, Italy. vitopavone@hotmail.com
Received: December 1, 2020
Peer-review started: December 1, 2020
First decision: February 15, 2021
Revised: March 21, 2021
Accepted: May 8, 2021
Article in press: May 8, 2021
Published online: June 18, 2021
Core Tip

Core Tip: Arthroereisis (AR) procedures are widely performed corrective surgeries for juvenile flexible flatfoot. The AR procedures include impact blocking devices and self-locking implants. Impact blocking devices include subtalar extra-articular calcaneo-stop (CS) screws that have a stem and a head and interfere with the talus. Self-locking implants (subtalar AR) are inserted in the sinus tarsi along its main axis. Surgeon experience, implant cost, and, cosmetic correction are the most common criteria included in the orthopedic decision-making process. Both AR procedures improved clinical and radiological parameters. Considering the complications, calcaneo-stop screws had a slightly better rate than subtalar AR.