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706-5.889) than exosinotarsal screw group (SMD 1.264; 95% CI 0.650-1.877). But no significant difference was noted between both groups in calcaneal pitch and AOFAS. The exosinotarsal screw and endosinotarsal device are both effective arthroereisis implant for pediatric flexible flatfoot. While considering the correction of Meary's angle, the endosinotarsal device is better than exosinotarsal screw.Grafting with vigorous rootstocks could offer tomato growers in Texas sustainable and efficient option to achieve reliable yield across a range of production syst