Evidence map›Paper›PMID 30607205›Full record

ArticleJournal of children's orthopaedics2018

Outcomes of the calcaneo-stop procedure for the treatment of juvenile flatfoot in young athletes.

V Pavone, A Vescio, C A Di Silvestri, A Andreacchio, G Sessa, G Testa

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  8. Clinical and radiographic efficacy of subtalar screw arthroereisis in the treatment of pediatric flexible flatfoot.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

V PavoneDepartment of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.
A VescioDepartment of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.
C A Di SilvestriDepartment of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.
A AndreacchioDepartment of Paediatric Orthopaedic Surgery, Regina Margherita Children's Hospital, Torino, Italy.
G SessaDepartment of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.
G TestaDepartment of General Surgery and Medical Surgical Specialties - Section of Orthopaedics and Traumatology, University Hospital 'Policlinico-Vittorio Emanuele', University of Catania, Italy.
University of Catania · ITIstituto Ortopedico Galeazzi · ITOspedale Regina Margherita · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFlexible flatfoot (FFF) is a widespread condition in juvenile patients. If symptomatic, FFF can require surgical treatment. The calcaneo-stop procedure has shown excellent clinical and radiographic outcomes and low rates of complications. The aim of the present study was to assess the sport practice of young athletes affected by FFF having undergone the calcaneo-stop procedure.

methodsBetween 2008 and 2016, 68 sport practitioners were bilaterally treated by the calcaneo-stop procedure, for a total of 136 FFF cases. Clinical evaluation, including the American Orthopedic Foot and Ankle Score (AOFAS), the Yoo et al score and The Foot & Ankle Disability Index (FADI) and FADI Sport scores were assessed. Radiographic evaluation was based on measurement of talar declination, Costa-Bertani's angle and calcaneal pitch.

resultsMean follow-up was 57.6 months (sd 16.8). The AOFAS score mean increased from 79.3 (sd 5.7) to 97.3 (sd 4.5) three years after surgery. The Yoo score improved from 3.1 (sd 1.0) preoperatively to 11.7 (sd 0.6) three years after surgery. The FADI Sport subscale mean improved from 74.1 (sd 10.4) preoperatively to 95.9 (sd 4.9) three years after surgery.Costa-Bertani's angle decreased from 156.1° (sd 4.2°) to 135.8° (sd 7.3°) at three years postoperatively; mean talar declination angle decreased from 44.2° (sd 6.3°) to 30.6° (sd 3.2°) at three years postoperatively and mean calcaneal pitch increased from 12.6° (sd 2.3°) to 16.3° (sd 1.3°) at three years postoperatively.

conclusionAdolescent patients who underwent the calcaneo-stop procedure reported satisfactory outcomes in terms of clinical and radiological evaluations. Moreover, our results showed an improvement of sport activity levels, with patients recovering sports activity within three months of surgery and without limitation in the execution of preferred activities. LEVEL OF EVIDENCE: IV.

Indexed as

calcaneo-stopflexible flatfootsport practicesymptomatic feetyoung athletes

Identifiers

PMID30607205
PMCPMC6293325
OpenAlexW2892880387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.