SynthesisJournal of pediatric orthopedics. Part B2026
Complications of calcaneo-stop procedure in pediatric flexible flatfoot: a systematic review and meta-analysis.
Synthesis in Journal of pediatric orthopedics. Part B, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
- Evaluation of the calcaneo-stop procedure with FIT-CS for the surgical treatment of juvenile flatfoot.International orthopaedics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The calcaneo-stop procedure is a minimally invasive surgical technique widely used to treat symptomatic flexible flatfoot (FFF) in pediatric patients. Although generally considered safe, complication rates vary across studies, and no quantitative synthesis has specifically evaluated its adverse event profile. A systematic review and meta-analysis were conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. Five databases were searched up to May 2025. Studies reporting postoperative complications after calcaneo-stop in patients younger than 18 years were included. Pooled complication rates were calculated using random-effects models, with subgroup analyses based on age, sex, screw type, and diameter. Twenty-two studies involving 1777 patients and 3082 operated feet were included. The overall pooled complication rate was 7.97% (95% confidence interval: 5.96-9.97%). The most frequent complications were postoperative pain (2.79%), reintervention (2.27%), incision-site symptoms (2.23%), peroneal spasm (1.72%), screw breakage (1.42%), superficial infection (1.37%), and screw loosening (0.72%). Higher complication rates were observed in patients older than 13 years (15.84%; P < 0.001), in cortical screws (13.2%), and in screws greater than or equal to 4.5 mm in diameter (13.9%; P = 0.0019). Bioabsorbable screws and 6.5 mm implants showed the lowest complication rates. The calcaneo-stop procedure appears to be a safe and effective treatment for symptomatic pediatric FFF, with complication risk influenced by patient age and implant characteristics.
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