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Flexible flatfoot

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https://www.readbyqxmd.com/read/28419877/effect-of-foot-orthoses-on-the-medial-longitudinal-arch-in-children-with-flexible-flatfoot-deformity-a-three-dimensional-moment-analysis
#1
Amir Ali Jafarnezhadgero, Morteza Madadi Shad, Mahdi Majlesi
Foot orthoses are often used to correct altered gait patterns. The purpose of this study was to investigate how foot orthoses can modify the magnitude of three dimensional moments of ankle, knee, and hip joints during a stride of gait in children with flexible flat feet. Bilateral gait data were collected from fourteen male children (age 10.2±1.4 years) suffering from flat feet syndrome. In order to obtain the kinematics data, a Vicon system with six cameras (100Hz) was used and two Kistler force plates (1000Hz) to record the kinetics data under each leg...
April 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28371501/therapeutic-outcomes-of-kalix-ii-in-treating-juvenile-flexible-flatfoot
#2
Le Cao, Xu-Dong Miao, Yong-Ping Wu, Xiang-Feng Zhang, Qiang Zhang
OBJECTIVES: To evaluate the therapeutic outcomes with Kalix II subtalar arthroereisis in sinus tarsi for juvenile flexible flatfoot. METHODS: A retrospective analysis of the data of 20 juveniles with symptomatic flexible flatfoot (27 feet) who underwent the Kalix II implant procedure from January 2008 to September 2012 was performed. The pain during daily activities was assessed and followed up by use of a standard 10-point visual analog scale (VAS), and function was evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot scoring system, and anteroposterior talar-first metatarsal angle, lateral talar-first metatarsal angle, calcaneal pitch angle, and talar declination angle at X-ray film were measured to assess the therapeutic outcomes...
February 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28271943/the-effects-of-talus-control-foot-orthoses-in-children-with-flexible-flatfoot
#3
So Young Ahn, Soo Kyung Bok, Bong Ok Kim, In Sik Park
BACKGROUND: A talus control foot orthosis (TCFO) combines an inverted rigid foot orthosis (RFO) with a broad upright portion that rises well above the navicular to cover and protect the talonavicular joint. We sought to identify the therapeutic effect of TCFOs in children with flexible flatfoot. METHODS: Flexible flatfoot was diagnosed in 40 children when either of the feet had greater than 4° valgus of resting calcaneal stance position (RCSP) angle and one of the radiographic indicators was greater than 30° in anteroposterior talocalcaneal angles, 45° in lateral talocalcaneal angles, and 4° in lateral talometatarsal angles and less than 10° of calcaneal pitch in barefoot radiographs...
January 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28271087/comparison-of-pediatric-and-general-orthopedic-surgeons-approaches-in-management-of-developmental-dysplasia-of-the-hip-and-flexible-flatfoot-the-road-to-clinical-consensus
#4
Ramin Haj Zargarbashi, Hirbod Nasiri Bonaki, Shayan Abdollah Zadegan, Taghi Baghdadi, Mohammad Hossein Nabian, Mehdi Ramezan Shirazi
Developmental dysplasia of the hip (DDH) and flatfoot are common pediatric orthopedic disorders, being referred to and managed by both general and pediatric orthopedic surgeons, through various modalities. Our study aimed to evaluate their consensus and perspective disagreements in terms of diagnostic and therapeutic approaches of the mentioned deformities. Forty participants in two groups of general orthopedic surgeons (GOS) (n=20) and pediatric orthopedic surgeons (POS) (n=20), were asked to answer an 8-item questionnaire on DDH and flexible flatfoot...
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28263247/return-to-sport-activities-after-subtalar-arthroereisis-for-correction-of-pediatric-flexible-flatfoot
#5
Nicolò Martinelli, Alberto Bianchi, Polina Martinkevich, Elena Sartorelli, Giovanni Romeo, Carlo Bonifacini, Francesco Malerba
The aim of this study was to establish whether children treated with subtalar arthroereisis for flexible flatfoot were able to return to sport activities. We reviewed 49 patients with a mean age at the time of surgery of 10.7 years. The type of sport activities, the number of sessions per week, the time dedicated to each session, and the level achieved were assessed preoperatively and at the last follow-up. Overall, 45 patients returned to sports after surgery. Surgery did not alter the duration, frequency, and type of sporting activities, but the participation in physical activities as well as the emotional status and footwear issues improved...
March 3, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28120097/clinical-and-radiological-outcome-of-calcaneal-lengthening-osteotomy-for-flatfoot-deformity-in-skeletally-immature-patients
#6
Lorenza Marengo, Federico Canavese, Mounira Mansour, Alain Dimeglio, François Bonnel
BACKGROUND: The purpose of this study was to evaluate the clinical, functional and radiological outcome of calcaneal lengthening osteotomy for the treatment of symptomatic flatfoot deformity in skeletally immature patients. METHODS: A retrospective review was led on 31 prospectively enrolled patients with symptomatic flatfoot. Twenty-seven out of 31 patients met the inclusion criteria, for a total of 38 operated feet. Mean age at time of surgery was 13.3 ± 2...
January 24, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27942135/the-effects-of-short-foot-exercises-and-arch-support-insoles-on-improvement-in-the-medial-longitudinal-arch-and-dynamic-balance-of-flexible-flatfoot-patients
#7
Eun-Kyung Kim, Jin Seop Kim
[Purpose] The purpose of the present study is to apply short foot exercises and arch support insoles in order to improve the medial longitudinal arch of flatfoot and compare the results to identify the effects of the foregoing exercises on the dynamic balance of the feet and the lower limbs. [Subjects and Methods] Fourteen university students with flexible flatfoot were selected by conducting navicular drop tests and randomly assigned to a short foot exercise group of seven subjects and an arch support insoles group of seven subjects...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27942124/effects-of-orthotic-insoles-on-adults-with-flexible-flatfoot-under-different-walking-conditions
#8
Jun Na Zhai, Yu Sheng Qiu, Jue Wang
[Purpose] This study was to evaluate the effects of orthotics on adults with flexible flatfoot when wearing orthotic insoles while walking on horizontal ground, walking up and down stairs and to determine if flexible flatfoot needs treatment. [Subjects and Methods] Fifteen college students with flexible flatfoot and fifteen college students with normal feet were recruited. First, load rate and contact area were measured by RSscan force plate when the subjects were walking on horizontal ground, walking up and down 10 cm and 20 cm stairs...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27842935/surgical-treatment-results-for-flexible-flatfoot-in-adolescents
#9
Necip Selcuk Yontar, Tahir Ogut, Mehmet Fatih Guven, Huseyin Botanlioglu, Gokhan Kaynak, Ata Can
OBJECTIVE: Idiopathic flexible pes planus (IFPP) is a common foot problem in adolescents and young adults. Hypothesis for the present study was that combination of procedures for IFPP can achieve results in adolescents and young adults that are as good as those seen in adult-acquired pes planovalgus (AAPP) treatment in adults. METHODS: A total of 21 feet of 18 patients (10 boys, 8 girls) with mean age of 15.6 years underwent surgical reconstruction for flatfoot deformity...
December 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27458719/the-effect-of-different-foot-orthosis-inverted-angles-on-plantar-pressure-in-children-with-flexible-flatfeet
#10
Soo-Kyung Bok, Hyunkeun Lee, Bong-Ok Kim, Soyoung Ahn, Youngshin Song, Insik Park
Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs) is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years) were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i) orthosis with no inverted angle, (ii) orthosis with a 15° inverted angle, and (iii) orthosis with a 30° inverted angle...
2016: PloS One
https://www.readbyqxmd.com/read/27402620/calcaneal-z-lengthening-osteotomy-combined-with-subtalar-arthroereisis-for-severe-adolescent-flexible-flatfoot-reconstruction
#11
Yang Xu, Xing-Chen Li, Xiang-Yang Xu
BACKGROUND: The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS: Data were analyzed for 16 patients (20 feet) who had flatfoot without tibialis posterior tendon dysfunction and were treated by calcaneal Z osteotomy combined with arthroereisis between October 2011 and February 2015...
November 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27379788/comparison-of-allograft-and-bovine-xenograft-in-calcaneal-lengthening-osteotomy-for-flatfoot-deformity-in-cerebral-palsy
#12
Jason Rhodes, Alfred Mansour, Allison Frickman, Breanna Pritchard, Katherine Flynn, Zhaoxing Pan, Frank Chang, Nancy Miller
BACKGROUND: The Evan's calcaneal lengthening osteotomy is a treatment method for spastic flatfoot deformity in patients with cerebral palsy that fail nonoperative measures. Autograft and allograft have been reported as potential graft choices. Bovine xenograft has been introduced as an alternative, but limited human data exists supporting its efficacy. This study compares the long-term results of allograft versus xenograft in isolated Evan's procedure performed for correction of flexible spastic flatfoot deformity...
July 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27212230/do-corrective-shoes-improve-the-development-of-the-medial-longitudinal-arch-in-children-with-flexible-flat-feet
#13
Ulunay Kanatlı, Erdem Aktas, Haluk Yetkin
BACKGROUND: Flexible flatfoot, as the most prevalent foot deformity in pediatric population still has no standardized strategy for its management hence some orthopedic surgeons have the tendency to use orthotic devices. The objective of this study is to evaluate whether orthotic shoes effect the natural course of the developing medial longitudinal arch in children diagnosed with moderate flexible flatfoot. METHODS: Fourty-five children (33 boys and 12 girls) with moderate flexible flatfoot were enrolled in this study...
September 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27104323/navicular-tenosuspension-with-anterior-tibialis-tendon-young-procedure-associated-to-calcaneo-stop-for-the-treatment-of-paediatric-flexible-flatfoot-clinical-and-ultrasound-study
#14
Elena Samaila, Ingrid Bonetti, Costanza Bruno, Emanuele Argentini, Bruno Magnan
BACKGROUND AND AIM OF THE WORK: Flexible flatfoot is one of the most common deformities in pediatric orthopaedics. Arthroeresis procedures are designed to correct this deformity. Among them, calcaneo-stop is a procedure with both biomechanical and proprioceptive properties. There could be other surgical procedure combined, such as a percutaneous Achilles tendon lengthening and the Gould tibialis posterior retension or Young tibialis anterior navicular tenosuspension. This study analyzed the clinical and sonographic results of 36 patients following flexible flatfoot surgical treatment with a calcaneo-stop arthroeresis combined with Achilles lengthening and a Young procedure...
April 15, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27064471/tarsal-coalition-in-children
#15
REVIEW
Jaime Rice Denning
Tarsal coalition (a congenital fibrous, cartilaginous, or bony connection between two bones) classically presents with recurrent ankle sprains or with insidious onset of a painful, stiff flatfoot. Flatfoot is a benign finding most of the time, but it is important to distinguish the rigid flatfoot from the flexible flatfoot. A patient with recurrent sprains of the ankle or a stiff flatfoot should be evaluated for a tarsal coalition. The key to making the diagnosis is careful examination for stiffness in the subtalar joint and appropriate imaging studies...
April 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27037441/an-investigation-into-the-aetiology-of-flexible-flat-feet-the-role-of-subtalar-joint-morphology
#16
A Kothari, S Bhuva, J Stebbins, A B Zavatsky, T Theologis
AIMS: There is increasing evidence that flexible flatfoot (FF) can lead to symptoms and impairment in health-related quality of life. As such we undertook an observational study investigating the aetiology of this condition, to help inform management. The hypothesis was that as well as increased body mass index (BMI) and increased flexibility of the lower limb, an absent anterior subtalar articulation would be associated with a flatter foot posture. PATIENTS AND METHODS: A total of 84 children aged between eight and 15 years old were prospectively recruited...
April 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/26997428/ultrasonographic-evaluation-of-achilles-tendon-in-children-with-flatfoot-a-case-control-morphometric-study
#17
Y Gonul, O Yucel, M Eroglu, I Senturk, S Eroglu, O Dikici, O Cartilli, M Ulasli
PURPOSE: The purpose of this study was to investigate whether any relationships exist between the presence of flatfoot and ultrasonographic morphometric findings of Achilles tendon in children. MATERIALS AND METHODS: The study included 30 pediatric patients with a mean age of 11.96±2.44 (SD) years (range: 9-16 years) with flexible flatfoot and 29 healthy pediatric controls who were matched for age and served as a control group. Demographic data of both groups such as age, height and weight, and anthropometric measurements including leg length and, length and cross-sectional area of the Achilles tendon on ultrasonography were tabulated...
September 2016: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/26908688/pediatric-pes-planus-a-state-of-the-art-review
#18
REVIEW
James B Carr, Scott Yang, Leigh Ann Lather
Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments...
March 2016: Pediatrics
https://www.readbyqxmd.com/read/26898763/medial-longitudinal-arch-biomechanics-evaluation-during-gait-in-subjects-with-flexible-flatfoot
#19
Tulaya Prachgosin, Desmond Y R Chong, Wipawan Leelasamran, Pruittikorn Smithmaitrie, Surapong Chatpun
PURPOSE: Medial longitudinal arch (MLA) strengthening has been considered an important part of successful flatfoot treatment. But, to date, the biomechanical loading behavior of the medial arch in flatfoot has not been evaluated. This study aimed to evaluate the MLA moment, MLA deformation angle, foot kinematics and ground reaction forces (GRF) in both normal foot and flatfoot groups. METHODS: Each participant's foot was classified according to arch type using foot prints and radiographs...
2015: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/26666677/radiographic-correction-following-reconstruction-of-adult-acquired-flat-foot-deformity-using-the-cotton-medial-cuneiform-osteotomy
#20
Amiethab Aiyer, Graham F Dall, Jeffrey Shub, Mark S Myerson
BACKGROUND: The Cotton osteotomy has been used to correct residual forefoot supination in flexible flatfoot deformity reconstruction. The purpose of this study was to delineate the radiographic effects of the Cotton osteotomy by controlling for concomitant procedures used for deformity correction. METHODS: We retrospectively analyzed 67 patients who underwent a Cotton osteotomy as part of a flatfoot reconstructive procedure. We evaluated 12 radiographic parameters including the articular surface angles of the foot, Meary angle, and a newly defined medial arch sag angle (MASA)...
May 2016: Foot & Ankle International
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