RESEARCH PAPER
Effects of subtalar arthroereisis in children, assessed on the basis of quality-of-life questionnaires
1
Clinical Department of Paediatrics, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
2
Department of Orthopaedics and Traumatology of the Lokomotorl System for Children, Chorzów, Poland
Corresponding author
Kamila Pardus
Clinical Department of Pediatrics, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland
Clinical Department of Pediatrics, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Subtalar arthroereisis is a procedure commonly performed in children with flat feet. The procedure is performed when conservative treatment did not have the desired effect,or when the patient’s abnormal symptoms are very severe and make it difficult for them to function normally in daily life. The aim of this study was to assess whether subtalar arthroereisis and physiotherapy improve the quality of life among children with flat feet.
Material and methods:
The study comprised 79 patients (140 operated feet) diagnosed with a flat foot defect who underwent a subtalar arthroereisis procedure. A self-administered questionnaire and a shortened version of the standardised WHOQOL-BREF questionnaire were used in the research.
Results:
The study confirmed that the patients’ quality of life after surgery was high in all the areas regarding the somatic, psychological, social and environmental domains. In the group of children assessed 13–24 months after surgery. it was also found that rapid fatigue after exercise (30% ± 9%) and Achilles tendon contracture (7% ± 4%) were significantly reduced. The results of the study confirmed that subtalar arthroereisis contributes to a decreased demand for orthoses in children (9% ± 6%) and for orthopaedic footwear (11% ± 5%) than before surgery.
Conclusions:
The employment of subtalars arthroereisis has a positive effect on the quality of life of children with flat feet. The surgery contributes to a reduction in pain and other abnormal symptoms that are associated with flat feet. In addition, physiotherapy performed after the procedure had a positive effect on the healing process and contributed to the improvement of the children’s quality of life.
Subtalar arthroereisis is a procedure commonly performed in children with flat feet. The procedure is performed when conservative treatment did not have the desired effect,or when the patient’s abnormal symptoms are very severe and make it difficult for them to function normally in daily life. The aim of this study was to assess whether subtalar arthroereisis and physiotherapy improve the quality of life among children with flat feet.
Material and methods:
The study comprised 79 patients (140 operated feet) diagnosed with a flat foot defect who underwent a subtalar arthroereisis procedure. A self-administered questionnaire and a shortened version of the standardised WHOQOL-BREF questionnaire were used in the research.
Results:
The study confirmed that the patients’ quality of life after surgery was high in all the areas regarding the somatic, psychological, social and environmental domains. In the group of children assessed 13–24 months after surgery. it was also found that rapid fatigue after exercise (30% ± 9%) and Achilles tendon contracture (7% ± 4%) were significantly reduced. The results of the study confirmed that subtalar arthroereisis contributes to a decreased demand for orthoses in children (9% ± 6%) and for orthopaedic footwear (11% ± 5%) than before surgery.
Conclusions:
The employment of subtalars arthroereisis has a positive effect on the quality of life of children with flat feet. The surgery contributes to a reduction in pain and other abnormal symptoms that are associated with flat feet. In addition, physiotherapy performed after the procedure had a positive effect on the healing process and contributed to the improvement of the children’s quality of life.
ACKNOWLEDGEMENTS
The authors thank the Medical University of Silesia in Katowice for cooperation in the research based on an agreement for the implementation of scientific and research work by a young scientist (No. PCN-2–094/N/0/Z).
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