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Effects of body weight on the clinical and radiological outcomes of children with flexible flatfeet managed with the ‘calcaneo-stop’ procedure

Pavone, Vitoa; Vescio, Andreaa; Canavese, Federicob,c; Costa, Daniloa; Sessa, Giuseppea; Testa, Gianlucaa

Journal of Pediatric Orthopaedics B: May 2019 - Volume 28 - Issue 3 - p 228–234
doi: 10.1097/BPB.0000000000000590
PEDIATRIC ORTHOPAEDICS IN ITALY: SPECIAL ISSUE
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This study aimed to evaluate the clinical and radiological outcomes of normal, overweight, and obese children with symptomatic flexible flatfeet managed with the ‘calcaneo-stop’ procedure (CSP), and to determine whether any correlation exists between patient weight and outcome. One hundred and seventy-four symptomatic flexible flatfeet were managed with CSP during the study period. The patients were divided into three groups according to their BMI and weight Z-scores: normal, overweight, and obese. Their clinical and radiographic outcomes were assessed preoperatively, and at 1 and 5 years after the index procedure. Although the radiographic criteria were comparable between the three groups, the clinical outcome was worse in obese children than in normal and overweight patients (P<0.05). BMI and the Z-score affected the outcomes of obese patients treated with CSP for symptomatic flexible flatfeet. Although the radiographic outcome was similar irrespective of BMI and Z-scores, obese patients had significantly lower clinical scores than the other patients.

aDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, University of Catania, Catania, Italy

bDepartment of Pediatric Surgery, University Hospital Estaing, Clermont Ferrand, France

cDepartment of Pediatric Orthopedic Surgery, Guangzhou Women and Children Medical Center, Guangzhou, China

Correspondence to Vito Pavone, MD, PhD, Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, University of Catania, Via Plebiscito, 628, 95100 Catania, Italy Tel: +39 095 743 5398; fax: +39 095 350 611; e-mail: vitopavone@hotmail.com

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