The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery, when it is necessary, and what procedure to be done. A thorough history, clinical examination, and imaging should be performed to guide the surgeon through an often complex treatment path. Surgical technique can be divided in three categories: Soft tissue, bony, and arthroereisis. This paper will describe the joint preserving techniques and their application to treat the pediatric flatfoot deformity.
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| http://dx.doi.org/10.5312/wjo.v7.i1.1 | DOI Listing |
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Differential effects of intrinsic- versus extrinsic-first corrective exercise programs on morphometric outcomes and navicular drop in pediatric flatfoot.
Sci Rep
December 2024
Health and Sports Medicine Department, Faculty of Sports Sciences and Health, University of Tehran, North Karegar St, P.O.B: 1439813117, Tehran, Iran.
Although the connection between muscular strength and flatfoot condition is well-established, the impact of corrective exercises on these muscles remains inadequately explored. This study aimed to assess the impact of intrinsic- versus extrinsic-first corrective exercise programs on muscle morphometry and navicular drop in boys with flexible flatfoot. Twenty-five boys aged 10-12 with flexible flatfoot participated, undergoing a 12-week corrective exercise program, with a shift in focus at six weeks.
View Article and Find Full Text PDFMidfoot and Forefoot Disorders in Adolescents and Adults with X-Linked Hypophosphatemia.
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Department of Pediatric Orthopaedics and Foot Surgery, Orthopaedic Hospital Speising, Speisinger Strasse 109, 1130 Vienna, Austria.
: X-linked hypophosphatemia (XLH, OMIM 307800) is a rare genetic disorder that affects phosphate metabolism. While lower limb deformity represents a hallmark symptom of patients with XLH, the effect on the foot has not been investigated. This study aimed to characterise foot pathologies and assess related outcome scores in adolescents and adults with XLH.
View Article and Find Full Text PDFValgus deformity of the distal tibia in children and adolescents with idiopathic flatfoot: Can it be predicted using 3D movement analysis?
Gait Posture
January 2025
HAWK University of applied sciences and Arts, Faculty of Engineering and Health, Annastraße 25, Göttingen D-37075, Germany; Orthopaedic Hospital for Children, Treatment Center Aschau GmbH, Bernauerstraße 18, Aschau i. Chiemgau D-83209, Germany. Electronic address:
Background: Distal tibial valgus deformity, though common in various medical conditions, has not been extensively studied in idiopathic flatfoot. It clinically presents as hindfoot valgus, mimicking flatfoot deformity, and requires X-rays for detection. Severity is quantified using resting calcaneal angle and standing tibio-calcaneal angles (STCA), but their prognostic value for identifying distal tibial valgus deformity remains unclear.
View Article and Find Full Text PDFUse of the Arthrex ProStop Subtalar Arthroeresis Screw in the Management of Symptomatic Paediatric Flexible Flatfoot.
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Introduction: Paediatric flexible flatfoot (PFFF) is a common, potentially debilitating condition affecting a significant proportion of active children. Despite its prevalence, there is a lack of consensus on optimal operative management in symptomatic children. We report a unique case series of six feet treated with the Arthrex ProStop Subtalar Arthroeresis Screw (Arthrex, UK) in the North West of England.
View Article and Find Full Text PDFTarsal coalition resection in children: Is it effective?
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The Paley Institute, West Palm Beach Florida. Electronic address:
Tarsal coalitions in children are a group of disorders that typically present as a rigid flatfoot deformity. Operative treatment generally consists of resecting the coalition alone or resection plus flatfoot reconstructive procedures. The purpose of this study was to evaluate the rate and risk factors for complications, including infection, recurrence, and reoperation, following the surgical management of tarsal coalitions in children.
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