Evaluation of the medial column in flatfoot surgery

Evaluating the effectiveness of medial column surgery as an isolated entity is difficult, and there is little information to guide the surgeon in choosing the appropriate procedure. This article presents a systematic method of evaluating the medial column. The parameters discussed are not absolute, allowing the surgeon to decide which procedure is most appropriate. To ensure a successful outcome, the surgeon should be able to evaluate the medial column clinically and radiographically and make a decision based on specific criteria rather than relying on anecdotal reports.