Related Experiment Video
Updated: Jul 3, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Adult-acquired flatfoot deformity
1Foot and Ankle Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Summary
Early diagnosis and prompt non-surgical treatment are crucial for adult-acquired flatfoot deformity. If non-surgical methods fail, surgical correction is recommended to prevent worsening of this condition.
Area of Science:
- Orthopedics
- Podiatry
- Biomechanics
Background:
- Adult-acquired flatfoot deformity, previously termed posterior tibial tendon dysfunction, presents as a spectrum of foot and ankle malalignments.
- These deformities exhibit variability in location, severity, and progression rate, impacting patient mobility and quality of life.
Purpose of the Study:
- To emphasize the critical role of early diagnosis in the effective management of adult-acquired flatfoot deformity.
- To highlight the importance of prompt, aggressive non-surgical interventions and the consideration of surgical correction when conservative treatments are insufficient.
Main Methods:
- Review of current literature and clinical guidelines on the diagnosis and management of adult-acquired flatfoot deformity.
- Analysis of treatment outcomes for both non-surgical and surgical approaches across different stages of the deformity.
Main Results:
- Early diagnosis is identified as a key determinant of successful treatment outcomes.
- Prompt, aggressive non-surgical management is recommended as the initial treatment strategy.
- Surgical correction is advised for cases where non-surgical management fails to prevent deformity progression.
Conclusions:
- Achieving proper foot and ankle alignment while preserving flexibility is the primary goal of surgical intervention in all deformity stages.
- Ongoing controversy exists regarding the optimal management strategies for severe, flexible adult-acquired flatfoot deformities.
Related Concept Videos
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:31Diabetic Foot Ulcer
Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
01:16Bones of the Lower Limb: Femur and Patella
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
01:28Muscles of the Leg that Move the Foot and Toes
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...