AVALIAÇÃO DA TÉCNICA DE ARTRORRISE SUBTALAR NO TRATAMENTO DO PÉ PLANO VALGO FLEXÍVEL PEDIÁTRICO: UMA REVISÃO DE LITERATURA

Abstract

Introduction: Flexible flatfoot is characterized by loss of the medial longitudinal arch and subtalar eversion and is a prevalent orthopedic condition among pediatric patients. Subtalar arthroereisis has emerged as an effective surgical option for the correction of this deformity, without the need for fusion of the subtalar joint or osteotomies. The aim of this study is analyze the available evidence on the efficacy and safety of subtalar arthroereisis in the treatment of flexible pediatric flatfoot. Methodology: This is an extended literature review study through bibliographic research using the terms subtalar, arthroereisis, and flexible flatfoot. The inclusion criteria included original articles published in the last 10 years. Results: Seven articles were selected to compose the review database. The studies addressed skeletally immature patients and evaluated the results of subtalar arthroereisis. Based on our articles, the results demonstrate a significant reduction in pain and adequate correction of deformities, regardless of the type of implant used – be it absorbable or non-absorbable. The procedure has a relatively low complication profile, which reinforces its reliability as a viable alternative for pediatric patients. The most common complications, such as implant loosening, incomplete correction, tarsal bone pain and screw breakage, were observed in a minority of cases. Conclusion: Subtalar arthroereisis presents an effective and safe surgical option for the treatment of flexible flatfoot foot in children.