{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:24:08Z","timestamp":1767169448384,"version":"3.48.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e0 degli studi \"Magna Graecia\" di Catanzaro"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although surgical alignment of the rear-foot might be sufficient to achieve acceptable correction of pronation-distortion deformity, concomitant correction of the medial arch might improve functional results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We present our experience with combined hind-foot alignment and medial arch reconstruction by in-situ naviculocuneiform arthrodesis for treatment of flexible flatfoot in children. We retrospectively evaluated clinical data available from pediatric (&lt; 18 years old) patients treated for flexible flatfoot in our department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We performed 160 surgical corrections of flat foot in 94 children over the study period. Median age was 13 (range, 12\u201314) years. All patients had a minimum postoperative follow-up of 24 months. Overall postoperative outcomes were optimal in 82% (n =\u2009113\/160) of cases, good in 15% (n =\u200924\/160) of cases, and adequate in 3% (n =\u20093\/160) of cases. At 24-month follow-up, complete surgical correction of deformity was achieved in 89% (n =\u2009143\/160) procedures. Complete consolidation of arthrodesis was achieved within 3\u00a0months form surgery in 84% (n =\u2009134\/160) of cases, between 3 and 6\u00a0months in 12% (n =\u200921\/160) of cases. There was a significant difference in pre-operative AOFAS score among the different weight categories (p &lt;\u20090.001). At post-hoc analysis, OB patients had lower AOFAS versus NW or OW patients. At 24-months follow-up, there was a significant difference in AOFAS scores among the different weight categories (p =\u20090.04). At post-hoc analysis, OB patients had lower AOFAS versus OW patients. There was no difference in AOFAS scores at final follow-up (p =\u20090.12). Postoperative pain was absent in 88% (n =\u2009140\/160) of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At a minimum 24-month follow-up, patients who undergo flat-foot deformity correction using a surgical technique combining sinus tarsi arthroeresis and medial arch reconstruction by naviculocuneiform arthrodesis experience good short-term results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-025-05831-x","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T12:13:32Z","timestamp":1745237612000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Benefits of combined hind-foot alignment and medial arch reconstruction surgery in children with flexible flatfoot: a case-series analysis"],"prefix":"10.1007","volume":"145","author":[{"given":"Fabrizio","family":"De Marchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria A.","family":"Crippa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo Maria","family":"Anghilieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3453-2043","authenticated-orcid":false,"given":"Filippo","family":"Familiari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Mazzantini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrett R.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Monti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"issue":"2","key":"5831_CR1","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1542\/peds.2005-2126","volume":"118","author":"M Pfeiffer","year":"2006","unstructured":"Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M (2006) Prevalence of flat foot in preschool-aged children. 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