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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Aug 31, 2025

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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[Treatment of a Progressive Collapsing Foot Deformity].

Norman Espinosa1

  • 1FussInstitut Zürich, Schweiz.

Therapeutische Umschau. Revue Therapeutique
|August 19, 2022
PubMed
Summary

Progressive collapsing foot deformity (PCFD), also known as flat foot, requires treatment only when symptomatic. Careful orthopedic evaluation is key to successful treatment outcomes for this complex condition.

Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanics

Background:

  • Flat foot, or "Knick-Senkfuss," is characterized by hindfoot axis changes and a lowered medial longitudinal arch.
  • Progressive collapsing foot deformity (PCFD) is a modern term encompassing various flat foot presentations and etiologies.
  • Not all PCFD cases require intervention; only symptomatic individuals necessitate treatment.

Purpose of the Study:

  • To provide a comprehensive overview of the treatment strategies for progressive collapsing foot deformity (PCFD).
  • To emphasize the importance of accurate diagnosis and patient selection for effective PCFD management.
  • To offer a logical framework for understanding and applying therapeutic options for PCFD.

Main Methods:

  • Clinical examination and interpretation of findings by orthopedic surgeons.

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  • Assessment of the hindfoot axis and medial longitudinal arch.
  • Consideration of the manifold forms and causes of PCFD to guide therapy selection.

    • Main Results:

    • PCFD presents with diverse forms and causes, necessitating individualized treatment approaches.
    • Symptomatic presentation is the primary indication for PCFD treatment.
    • Successful treatment outcomes are contingent upon thorough patient evaluation and diagnostic interpretation.

    Conclusions:

    • Treatment for PCFD should be reserved for symptomatic patients.
    • A detailed orthopedic assessment is crucial for determining appropriate and effective treatment.
    • Understanding the varied nature of PCFD is essential for successful therapeutic intervention.