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Adult Acquired Flatfoot Deformity.
J Benjamin Jackson1, Matthew J Pacana, Tyler A Gonzalez
1From the University of South Carolina School of Medicine Department of Orthopedic Surgery Prisma Health, Columbia, SC.
The Journal of the American Academy of Orthopaedic Surgeons
|December 21, 2021
Summary
Adult acquired flatfoot deformity (AAFD) can be treated non-surgically. For persistent cases, surgical interventions offer improvement. Research is ongoing for better understanding and advanced treatments.
Area of Science:
- Orthopaedics
- Foot and Ankle Surgery
Background:
- Adult acquired flatfoot deformity (AAFD) is a common condition.
- Posterior tibial tendon dysfunction is the presumed initial cause.
- Nonsurgical treatments can effectively manage AAFD pain.
Purpose of the Study:
- To review current treatment advances for AAFD based on deformity stage.
- To highlight areas for future research in surgical management.
- To discuss the evolving nomenclature towards progressive collapsing flatfoot deformity.
Main Methods:
- Literature review focusing on recent advancements in AAFD treatment.
- Analysis of surgical interventions for refractory cases.
- Examination of updated nomenclature and staging.
Main Results:
- Nonsurgical methods offer successful pain resolution for many AAFD patients.
- Surgical interventions provide improvement for those with persistent symptoms.
- The condition is increasingly referred to as progressive collapsing flatfoot deformity.
Conclusions:
- Treatment strategies for AAFD should be tailored to the specific stage of deformity.
- Further research is needed to understand the natural history and evaluate new surgical treatments.
- Prospective evaluation of novel implants and techniques is essential for advancing care.
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