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How to approach the pediatric flatfoot.

Ettore Vulcano1, Camilla Maccario1, Mark S Myerson1

  • 1Ettore Vulcano, Camilla Maccario, Mark S Myerson, Institute for Foot and Ankle Reconstruction at Mercy Medical Center, Baltimore, MD 21202, United States.

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PubMed
Summary

Treating pediatric flatfoot requires careful assessment to determine surgical necessity and optimal procedures. This review details joint-preserving surgical techniques for complex pediatric flatfoot deformities.

Keywords:
ArthroereisisFlatfootFlexiblePediatricPes planusPlanovalgusRigid

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Foot and Ankle Surgery

Background:

  • Pediatric flatfoot presents complex treatment challenges.
  • Determining surgical candidacy and procedure is difficult.
  • A systematic approach involving history, examination, and imaging is crucial.

Purpose of the Study:

  • To review joint-preserving surgical techniques for pediatric flatfoot.
  • To guide surgeons in selecting appropriate procedures.
  • To enhance understanding of treatment options for pediatric flatfoot deformity.

Main Methods:

  • Review of surgical techniques for pediatric flatfoot.
  • Categorization of surgical approaches: soft tissue, bony, and arthroereisis.
  • Focus on joint-preserving methods.

Main Results:

  • Surgical treatment is categorized into soft tissue, bony, and arthroereisis procedures.
  • Joint-preserving techniques offer viable options for pediatric flatfoot.
  • Detailed description of techniques and their application.

Conclusions:

  • Careful patient evaluation is paramount for successful pediatric flatfoot treatment.
  • Joint-preserving surgical techniques are essential for managing pediatric flatfoot deformity.
  • This paper provides a guide to surgical techniques for pediatric flatfoot.