Evidence map›Paper›PMID 31467723›Full record

ArticleAdvances in orthopedics2019

Radiographic and Functional Results following Subtalar Arthroereisis in Pediatric Flexible Flatfoot.

David Ruiz-Picazo, Plácido Jiménez-Ortega, Francisco Doñate-Pérez, Natalia Gaspar-Aparicio, Victor García-Martín, José Ramírez-Villaescusa, Sergio Losa-Palacios

Open access · goldAbstract read
In one paragraph

Article in Advances in orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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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  5. The role of subtalar extrarticular screw arthroereisis (SESA) in surgical treatment of tarsal coalitions.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
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  17. Tarsometatarsal bone remodelling after subtalar arthroereisis.Journal of children's orthopaedics · 2020
    Review
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

7 authors at 1 institution in 1 country.

David Ruiz-PicazoDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.ORCID https://orcid.org/0000-0002-0452-7390
Plácido Jiménez-OrtegaDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
Francisco Doñate-PérezDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
Natalia Gaspar-AparicioDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
Victor García-MartínDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
José Ramírez-VillaescusaDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
Sergio Losa-PalaciosDepartment of Pediatric Orthopaedics Surgery, Complejo Hospitalario Universitario de Albacete, Spain.
Complejo Hospitalario Universitario de Albacete · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFlexible flatfoot (FFF) is one of the most common skeletal disorders in children. In symptomatic patients who do not respond to conservative measures, surgery may be an option. Subtalar arthroereisis consists of limiting excessive eversion of the subtalar joint through different types of implants. MATERIALS AND

methodsWe carried out a retrospective study of 16 patients (32 feet) intervened for FFF with a subtalar device (arthroereisis), across the period of 2008-2015 with a minimum follow-up period of one year. Pre- and postoperative measures of the Moreau-Costa-Bartani angle, dorsoplantar (DP) and lateral (L) talocalcaneal angle, talonavicular coverage angle, and naviculocuboid overlap were used to evaluate correction of the deformity. Two expert surgeons from the Pediatric Orthopedics Unit took separate measurements of these angles for subsequent analysis purposes and to obtain the interobserver correlation coefficient for quantitative variables. Pre- and postoperative differences in the measurement of angles were ascertained using Student's

resultsA breakdown of the study population showed 81.25% (13 patients) males and 18.75% (3 patients) females, with mean age of 9 years (7-11). The interobserver coefficient for quantitative variables displayed a very high degree of concordance (0.7-0.9), indicating that the validity of the measures was adequate. Pre- and postoperative analysis of differences in the measurement of angles was statistically significant (p<0.005). In terms of functional evaluation, the postoperative results were positive, with statistical significance for the "school and play", "emotional", and "footwear" domains of the OxAFQ-C scale and no differences in the "physical" domain.

conclusionSubtalar arthroereisis is a valid option for the treatment of symptomatic pediatric flatfoot, with good postoperative functional and radiographic results.

Identifiers

PMID31467723
PMCPMC6699253
OpenAlexW2966868441

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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.