Priority 18 from the Paediatric Lower Limb Surgery PSP

UNCERTAINTY: What are the indications for surgical treatment of flatfeet (including implants) and what are the long-term results of surgery? (JLA PSP Priority 18)
Overall ranking 18
JLA question ID 0081/18
Explanatory note  Not available for this PSP
Evidence

Metcalfe S et al. Subtalar joint arthroereisis in the management of pediatric flexible flatfoot: a critical review of the literature. Foot Ankle Int. 2011 Dec;32(12):1127-39.

Health Research Classification System category  Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples When does surgery produce better patient-centred outcomes than the natural history in flat feet? ~ Flat feet - how many need orthotics and if so, which sort? ~ What sort of physio (if any) helps? ~  Does pain from flat feet persist after puberty? ~  What role does flat foot surgery have (the arthroeresis screw in particular) -Flat feet - how many need orthotics and if so, which sort - what sort of physio (if any) helps? ~ Does pain from flat feet persist after puberty? What role does flat foot surgery have (the arthroeresis screw in particular)?
Submitted by  See data spreadsheet on JLA website
PSP information
PSP unique ID 0081
PSP name  Paediatric Lower Limb Surgery
Total number of uncertainties identified by this PSP. 75  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 17 November 2018