Complications following correction of the planovalgus foot in cerebral palsy by arthroereisis

Published online: Jun 27 2009

Iakov Molayem, Pietro Persiani, Lucian Lior Marcovici, Stefano Rosi, Alessandro Calistri, Ciro Villani

From the Policlinico Umberto I, “Sapienza” Università di Roma, Italy


Pes valgus is a pathological condition which occurs in up to 25% of patients with cerebral palsy. Its correction in early age is essential to prevent progression of the deformity and to optimize the patient's function. In younger patients arthroereisis can be considered as a treatment that fills the void between orthotics and arthrodesis. We treated 15 patients (27 feet) with intra-or extra-sinus tarsi arthroereisis. Concomitant Achilles tendon lengthening was performed in 12 feet. Results were good in 19 feet and poor in 8. Even though arthoereisis presents some complications, it can be considered a useful treatment to delay or avoid a Grice subtalar arthrodesis in flexible pes valgus due to cerebral palsy.