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Subtalar extra-articular screw arthroereisis: Early North American experience in a novel minimally invasive treatment for pediatric pes planovalgus.

Nicholas Sullivan | Patricia E Miller | Susan T Mahan
Journal of the Pediatric Orthopaedic Society of North America | 2024

Most children and adolescents who have flexible pes planovalgus (PPV) are asymptomatic, however some have significant daily foot pain that limits their activities. Current acceptable treatment options are conservative measures or full foot reconstruction and at present there is no "middle ground" treatment in the United States. The Subtalar Extra-Articular Screw Arthroereisis (SESA) (aka "calcaneo-stop") procedure offers a minimally invasive option for PPV correction, and is done commonly in Europe with satisfactory results. Its not clear why this procedure has not yet been widely adopted in North America. The purpose of this study was to assess early single surgeon experience and patient satisfaction in North America with the SESA for treatment of flexible PPV.

Pubmed ID: 40433244

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