ArticleAmerican journal of translational research2020
Osteotomies combined with soft tissue procedures for symptomatic flexible flatfoot deformity in children.
Article in American journal of translational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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.
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.
Who cites it
8 citing papers in PubMed, 7 citations in OpenAlex.
- Treatment of pediatric flatfoot: a systematic review-based consensus and guidelines by CPAM-LRC.Frontiers in pediatrics · 2026Review
- Clinical and radiological outcomes of Evan's osteotomy in young patients with flexible flatfoot deformity: a retrospective investigation.BMC musculoskeletal disorders · 2025Article
- Comparative effects of two calcaneal lengthening osteotomies (Hintermann vs. Evans) in stage II adult-acquired flatfoot.BMC musculoskeletal disorders · 2025Article
- Joint preservation surgery for correcting adolescents' spasmodic flatfoot deformity: early results from a specialized North African foot and ankle unit.International orthopaedics · 2024Article
- Really Asymptomatic? Health-Related Quality of Life and Objective Clinical Foot Characteristics among 5-10-Year-Old Children with a Flexible FlatFoot.Journal of clinical medicine · 2023Article
- Subtalar arthroereisis combined with medial soft tissue reconstruction in treating pediatric flexible flatfoot with accessory navicular.Journal of orthopaedic surgery and research · 2023Review
- Calcaneal lengthening osteotomy in the management of idiopathic flatfoot in children: cCase series of twenty-one feet.International journal of surgery case reports · 2022Article
- Evans and Cotton Osteotomies Using Porous Titanium Wedges to Correct Pediatric Flatfoot Deformity.JBJS essential surgical techniquesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe indications for surgery, timing, and procedure in children with flexible flatfoot deformity remain controversial. This study aims to evaluate the efficacy of osteotomies combined with soft tissue procedures in children with flexible flatfoot aged 9-14 years.
methodsTwenty-eight children (47 feet) with flexible flatfoot who underwent osteotomy combined with soft tissue surgery between July 2014 and October 2017 were included in this study. The main observational indexes included the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Foot and Ankle Outcome Score (FAOS), talo-navicular coverage angle (TNCA), talar-first metatarsal angle (T1MA) on the foot anteroposterior (AP) view, calcaneal pitch angle and Meary's angle on the foot lateral view, and calcaneus valgus angle (CVA) on the Saltzman view. Intra- and interobserver reliabilities were assessed using intra-class correlation coefficient (ICC). Patient's satisfaction was assessed.
resultsAll patients were followed up for an average duration of 29.7±8.6 months. The results showed that the mean AOFAS and FAOS had improved significantly from 56.6±8.0 and 47.4±9.5 preoperatively to 88.4±3.9 and 83.2±6.8 at final follow-up (P<0.001), respectively. There were statistically significant differences between preoperative and postoperative scores in all FAOS subscales (P<0.001). Radiographic parameters, such as TNCA (P<0.001) and T1MT (P<0.001) on foot AP views, calcaneal pitch angle (P=0.014) and Meary's angle (P<0.001) on foot lateral views, and CVA (P<0.001) on Saltzman views, had improved significantly. We observed overall substantial to perfect intra- and inter-observer agreements for all radiographic measurements preoperatively and final follow-up. All patients and their parents were satisfied with the functional outcomes.
conclusionOsteotomies combined with soft tissue procedures is an effective strategy for flexible flatfoot deformity in children, as it results in favorable radiographic and functional outcomes.
Indexed as
Identifiers
33194082PMC7653612W3103062279What OpenQuestion holds
Registered trials
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.