{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T15:19:49Z","timestamp":1775315989917,"version":"3.50.1"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO O p\u00e9 plano flex\u00edvel \u00e9 condi\u00e7\u00e3o frequente na crian\u00e7a pequena e apresenta forte tend\u00eancia para corre\u00e7\u00e3o espont\u00e2nea, ou tornar-se moderado ou leve no adulto, o que n\u00e3o causar\u00e1 problemas futuros. Entretanto, em uma pequena propor\u00e7\u00e3o de casos a deformidade \u00e9 mais grave, n\u00e3o melhora, o que pode levar ao comprometimento do desempenho mec\u00e2nico, deformidade e, eventualmente, dor. Nestes casos o tratamento cir\u00fargico deve ser considerado. O objetivo desta revis\u00e3o sistem\u00e1tica foi avaliar os resultados da literatura no tratamento do p\u00e9 plano flex\u00edvel sintom\u00e1tico da crian\u00e7a ou adolescente por um procedimento bastante frequente que \u00e9 a osteotomia de alongamento da coluna lateral do calc\u00e2neo. Foi realizada busca sistem\u00e1tica eletr\u00f4nica nas bases de dados PubMed, Web of Science, Cochrane, CINAHL, SciELO, SCOPUS e LILACS por artigos publicados entre mar\u00e7o de 1975 e setembro de 2016. Ap\u00f3s aplica\u00e7\u00e3o dos crit\u00e9rios de elegibilidade, os artigos selecionados foram avaliados quanto aos resultados cl\u00ednicos, radiogr\u00e1ficos e complica\u00e7\u00f5es. Dos 341 artigos encontrados nas bases de dados, apenas oito estudos foram selecionados, segundo os crit\u00e9rios de inclus\u00e3o e exclus\u00e3o, com um total de 105 pacientes e 167 p\u00e9s tratados. Somente tr\u00eas autores realizaram estudo prospectivo, mas sem caso controle ou aleatoriza\u00e7\u00e3o. A maioria das publica\u00e7\u00f5es no per\u00edodo avaliado \u00e9 composta por estudos descritivos ou s\u00e9rie de casos (n\u00edvel de evid\u00eancia III ou IV), com grandes varia\u00e7\u00f5es metodol\u00f3gicas, mas com alto \u00edndice de satisfa\u00e7\u00e3o dos pacientes e cirurgi\u00f5es, em rela\u00e7\u00e3o aos resultados. Entretanto, s\u00e3o necess\u00e1rias pesquisas com desenho prospectivo, aleatorizado, grupo controle adequado e crit\u00e9rios de avalia\u00e7\u00e3o validados.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181969","type":"journal-article","created":{"date-parts":[[2018,12,15]],"date-time":"2018-12-15T13:53:38Z","timestamp":1544882018000},"source":"Crossref","is-referenced-by-count":4,"title":["Osteotomia de alongamento da coluna lateral do calc\u00e2neo para tratamento do p\u00e9 plano flex\u00edvel sintom\u00e1tico de crian\u00e7as e adolescentes: revis\u00e3o sistem\u00e1tica."],"prefix":"10.1590","volume":"45","author":[{"given":"Thiago Coelho","family":"Lima","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Batista","family":"Volpon","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1097\/BPO.0000000000000582","article-title":"What's new in pediatric flatfoot","volume":"36","author":"Bauer K","year":"2016","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1053\/j.jfas.2004.09.013","article-title":"Diagnosis and treatment of pediatric flatfoot","volume":"43","author":"Harris EJ","year":"2004","journal-title":"J Foot Ankle Surg"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/01241398-199401000-00017","article-title":"Footprint analysis during the growth period","volume":"14","author":"Volpon JB","year":"1994","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"ref4","first-page":"CD006311","article-title":"Non-surgical interventions for paediatric pes planus","author":"Rome K","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"issue":"8","key":"ref5","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1097\/BPO.0b013e3182648c95","article-title":"The efficacy of nonsurgical interventions for pediatric flexible flat foot: a critical review","volume":"32","author":"Jane MacKenzie A","year":"2012","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S1067-2516(09)80037-9","article-title":"Symptomatic juvenile flatfoot condition: surgical treatment","volume":"34","author":"Dockery GL","year":"1995","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1302\/0301-620X.57B3.270","article-title":"Calcaneo-valgus deformity","volume":"57","author":"Evans D","year":"1975","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1177\/107110079301400305","article-title":"Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot","volume":"14","author":"Sangeorzan BJ","year":"1993","journal-title":"Foot Ankle"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s11832-014-0621-0","article-title":"Health-related quality of life in children with flexible flatfeet: a cross-sectional study","volume":"8","author":"Kothari A","year":"2014","journal-title":"J Child Orthop"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"500","DOI":"10.2106\/00004623-199504000-00002","article-title":"Calcaneal lengthening for valgus deformity of the hindfoot. 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