What does this research mean for the field?

Subtalar arthroereisis is a viable first-line treatment option for pediatric patients with idiopathic flexible pes planus due to its minimally invasive nature and favorable safety profile, despite osteotomy yielding greater correction of calcaneal inclination and hindfoot valgus. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to compare the clinical outcomes of arthroereisis and osteotomy for treating idiopathic flexible pes planus in children.

February 28, 2026Archives of Orthopaedic and Trauma Surgery0 citationsOpen Access

Comparing the clinical outcomes of arthroereisis and osteotomy in the treatment of paediatric patients with idiopathic flexible pes planus: a systematic review and meta-analysis

HCHaoyang Chen HLHao Xing Lai SVS Venkateswaran

Key Points

The aim is to compare the clinical outcomes of arthroereisis and osteotomy for treating idiopathic flexible pes planus in children.
Systematic review of existing literature
Meta-analysis of clinical outcomes
Evaluation of radiographic measurements
Analysis of functional gains post-treatment
Osteotomy shows greater correction of calcaneal inclination and hindfoot valgus
Arthroereisis restores lateral longitudinal arch and forefoot adduction better
Both interventions lead to equivalent functional improvements
Arthroereisis is minimally invasive with a favorable safety profile

Abstract

While osteotomy yields greater correction of calcaneal inclination and hindfoot valgus, subtalar arthroereisis provides superior restoration of the lateral longitudinal arch and forefoot adduction. Despite these radiographic differences, both techniques provide equivalent functional gains. Due to its minimally invasive nature and favorable safety profile, arthroereisis is a viable first-line option, while osteotomy remains essential for correcting severe structural calcaneal pathology.

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