Evidence map›Paper›PMID 38814449›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Clinical outcomes of subtalar arthroereisis for the treatment of stage 1 flexible progressive collapsing foot deformity.

Thomas L Lewis, Thomas A J Goff, Robbie Ray, Jagwinder Dhaliwal, David Carmody, Andrew P Wines

Abstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Clinical and radiographic efficacy of subtalar screw arthroereisis in the treatment of pediatric flexible flatfoot.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Article
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.

Thomas L LewisKing's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK. t.lewis2@nhs.net.ORCID http://orcid.org/0000-0002-4167-7427
Thomas A J GoffMid Yorkshire Hospitals NHS Trust, Wakefield, UK.
Robbie RayKing's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.
Jagwinder DhaliwalSandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
David CarmodyNorth Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, Australia.
Andrew P WinesNorth Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of subtalar arthroereisis as an adjunct to the surgical treatment of stage 1 flexible progressive collapsing foot deformity (PCFD) is controversial. The aim was to investigate the clinical outcomes and report the implant removal rate of subtalar arthroereisis as an adjunct for stage 1 PCFD.

methodsA retrospective study of 212 consecutive feet undergoing operative management of stage 1 PCFD with adjunctive subtalar arthroereisis between October 2010 and April 2018. The primary outcome was the Foot and Ankle Outcome Score (FAOS). Secondary outcomes included Foot and Ankle Disability Index (FADI), Euroqol-5D-5L Index and implant removal rate.

resultsPost-operative clinical FAOS outcomes were collected for 153 feet (72.2%). At mean 2.5-year follow-up, the mean ± standard deviation FAOS for each domain was as follows; Pain: 81.5 ± 18.5, Symptoms: 79.5 ± 12.9, Activities of Daily Living: 82.5 ± 15.4 and Quality of Life: 64.2 ± 23.7. EQ-5D-5L Index was 0.884 ± 0.152. Pre-operative scores were available for 20 of these feet demonstrating a statistically significant improvement in all FAOS, FADI and EQ-5D-5L domains (p < 0.05). The implant removal rate for persistent sinus tarsi pain was 48.1% (n = 102).

conclusionUse of a subtalar arthroereisis implant as an adjunct to conventional procedures in stage 1 flexible PCFD can result in significant improvement in pain and function. Patients should be counselled as to the relatively frequent rate of subsequent implant removal. LEVEL OF EVIDENCE: IV.

Indexed as

Quality of LifeSubtalar JointActivities of Daily LivingAdultAgedDevice RemovalFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAdult flatfootArthrodesisFlatfootHind foot reconstructionPes planusProgressive collapsing foot deformityScrew removalSubtalar arthroereisisSubtalar jointTibialis posterior

Identifiers

PMID38814449
PMCPMC11377592

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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.