Evidence map›Paper›PMID 39318489›Full record

ArticleWorld journal of orthopedics2024

Pediatric flexible flatfoot: Does obesity influence the outcomes of arthroereisis?

Luca Monestier, Giacomo Riva, Mahfuz Latiff, Luca Marciandi, Elisa Bozzi, Alessandra Pelozzi, Andrea Pautasso, Giorgio Pilato, Michele Francesco Surace, Fabio D'Angelo

Abstract read
In one paragraph

Article in World journal of orthopedics, 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.

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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

10 authors.

Luca MonestierDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.
Giacomo RivaDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.
Mahfuz LatiffDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.
Luca MarciandiDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy. dottlucamonestier@outlook.it.
Elisa BozziResidency Program in Orthopedics and Trauma, Department of Biotechnologies and Life Sciences, University of Insubria, Varese 21100, Lombardy, Italy.
Alessandra PelozziResidency Program in Orthopedics and Trauma, Department of Biotechnologies and Life Sciences, University of Insubria, Varese 21100, Lombardy, Italy.
Andrea PautassoDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.
Giorgio PilatoDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.
Michele Francesco SuraceInterdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System, Department of Biotechnology and Life Sciences, University of Insubria, Varese 21100, Lombardy, Italy.
Fabio D'AngeloDivision of Orthopedics and Traumatology, ASST Sette Laghi, Varese 21100, Lombardy, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood obesity has emerged in the last decades as an important public health problem worldwide. Although relationships between obesity and flatfoot have been shown, no studies have investigated the influence of obesity on arthroereisis outcomes.

aimTo evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking implants.

methodsThis retrospective study included one hundred and sixty-nine pediatric patients (10-14 years old) who underwent subtalar arthroereisis (PEEK PitStop

resultsEFAS and VAS scores improved post-operatively in the whole population. Only seven cases with complications were reported. Radiographic assessment revealed an improvement in all angles. Statistical analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes: Relationships were reported between BMI and postoperative EFAS/VAS scores, postoperative calcaneal pitch angle, Kite angle, Meary angle and talo-first metatarsal angle.

conclusionAlthough arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children, obesity significantly influences clinical and radiographic outcomes of arthroereisis, and obese children tend to perceive more pain and discomfort.

Indexed as

ArthroereisisObesityOutcomesPediatric flatfootSubtalar

Identifiers

PMID39318489
PMCPMC11417632

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