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Flexible flatfoot

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https://www.readbyqxmd.com/read/27842935/surgical-treatment-results-for-flexible-flatfoot-in-adolescents
#1
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...
November 11, 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
#2
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
#3
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...
July 9, 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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
https://www.readbyqxmd.com/read/26589087/painful-flexible-flatfoot
#13
REVIEW
Abdel Majid Sheikh Taha, David S Feldman
Flatfoot is commonly encountered by pediatric orthopedic surgeons and pediatricians. A paucity of literature exists on how to define a flatfoot. The absence of the medial arch with a valgus hindfoot is the hallmark of this pathology. Flatfoot can be flexible or rigid. This review focuses on the diagnosis and treatment of the flexible flatfoot. Most flatfeet are flexible and clinically asymptomatic, and warrant little intervention. If feet are symptomatic, treatment is needed. Most patients who require treatment improve with foot orthotics and exercises...
December 2015: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/26527876/symptomatic-flexible-flatfoot-in-adults-subtalar-arthroereisis
#14
Fırat Ozan, Fatih Doğar, Kürşat Gençer, Şemmi Koyuncu, Fatih Vatansever, Fuat Duygulu, Taşkın Altay
Flexible flatfoot is a common deformity in pediatric and adult populations. In this study, we aimed to evaluate the functional and radiographic results of subtalar arthroereisis in adult patients with symptomatic flexible flatfoot. We included 26 feet in 16 patients who underwent subtalar arthroereisis for symptomatic flexible flatfoot. Radiographic examination included calcaneal inclination angle, lateral talocalcaneal angle, Meary's angle, anteroposterior talonavicular angle, and Kite's angle. The clinical assessment was based on the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scale and a visual analog scale (VAS)...
2015: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/26508497/surgical-treatment-of-hallux-valgus-associated-with-flexible-flatfoot-during-growing-age
#15
Cesare Faldini, Matteo Nanni, Francesco Traina, Daniele Fabbri, Raffaele Borghi, Sandro Giannini
PURPOSE: During growth, hallux valgus could present associated with flatfoot. Considering the current disagreement about correction of hallux valgus during growth and the lack of reports about simultaneous correction of hallux valgus associated with flexible flatfoot, we present simultaneous treatment of both deformities during growth combining subtalar arthroeresis and SERI first metatarsal osteotomy, reporting results at an average five-year follow-up. METHODS: Thirty-two children (64 feet, age range 8-12 years) affected by hallux valgus associated with flexible flatfoot underwent surgical treatment combining SERI first metatarsal osteotomy and subtalar arthroereisis with bioabsorbable endorthotic implant...
April 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26387405/effects-of-foot-muscles-training-on-plantar-pressure-distribution-during-gait-foot-muscle-strength-and-foot-function-in-persons-with-flexible-flatfoot
#16
Chutimon Panichawit, Sunee Bovonsunthonchai, Roongtiwa Vachalathiti, Khompakorn Limpasutirachata
OBJECTIVE: To investigate the effects of a foot-muscle trainingprogram on plantarpressure distribution, foot muscle strength, and foot function in persons with flexible flatfoot. MATERIAL AND METHOD: Participants received foot-muscle training 3 times weekly, over 8 weeks. Training consisted of gastrosolues muscle stretching and strengthening the muscles around the ankle and the intrinsic muscles. The contact area andpeak pressure under the hallux, first metatarsal, and medial midfoot were assessed by the Force Distribution Measurement Plaform while walking...
June 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/26296215/what-s-new-in-pediatric-flatfoot
#17
Kathryn Bauer, Vincent S Mosca, Lewis E Zionts
BACKGROUND: Children with flatfeet are frequently referred to pediatric orthopaedic clinics. Most of these patients are asymptomatic and require no treatment. Care must be taken to differentiate patients with flexible flatfeet from those with rigid deformity that may have underlying pathology and have need of treatment. Rigid flatfeet in infants may be attributable to a congenital vertical talus (CVT); whereas those in older children and adolescents may be due to an underlying tarsal coalition...
August 20, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26280953/surgical-treatment-of-the-adult-acquired-flexible-flatfoot
#18
REVIEW
Lise Van Gestel, Saskia Van Bouwel, Johan Somville
In this review article, the authors give an overview of the currently available soft tissue and bony procedures in the treatment of the adult acquired flexible flatfoot. Instead of starting from the classification for posterior tibial tendon dysfunction, described by Johnson and Storm, the authors address the flatfoot from a more anatomical point of view. Based on this, they will try to define a treatment algorithm.
June 2015: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/26253476/anatomic-reconstruction-technique-for-a-plantar-calcaneonavicular-spring-ligament-tear
#19
Ezequiel Palmanovich, Shay Shabat, Yaron S Brin, Viktor Feldman, Benny Kish, Meir Nyska
Acquired flatfoot deformity in adults is usually due to partial or complete tearing of the posterior tibial tendon, with secondary failure of other structures such as the plantar calcaneonavicular (spring) ligament (SL), which maintain the medial longitudinal arch. In flexible cases, the tibialis posterior can be replaced with the flexor digitorum longus. It is common practice to suture the SL directly in the case of a tear; however, if the tear is complete, suturing directly to the ligament alone will not be possible...
November 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26117574/osteotomies-for-the-flexible-adult-acquired-flatfoot-disorder
#20
REVIEW
Kyle S Peterson, Benjamin D Overley, Thomas C Beideman
Flexible adult acquired flatfoot disorder is commonly treated with the use of osteotomies in the calcaneus and medial column. The combination of these joint-preserving osteotomies with additional soft-tissue procedures allows realignment of the hindfoot with the goal of preventing further deformity or degenerative joint disease. A thorough understanding of each patient's condition allows the surgeon to match the correct osteotomy to the clinical indication, while also successfully executing the planned surgery...
July 2015: Clinics in Podiatric Medicine and Surgery
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