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Pes planovalgus in children.

H D Powell

    Clinical Orthopaedics and Related Research
    |July 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Surgical intervention for severe pediatric flat feet (pes planovalgus) leads to lasting functional improvements and reduced symptoms, even if radiographic changes are minimal. This approach offers significant benefits for children with significant symptoms.

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    Area of Science:

    • Orthopedics
    • Pediatric Orthopedics
    • Podiatry

    Background:

    • Postural valgus hindfeet, commonly known as flat feet or floppy feet, are a recognized orthopedic condition in children.
    • While many cases are managed non-surgically with orthotics like Rose-Swartz insoles during growth, a subset of patients presents with severe symptoms necessitating surgical intervention.

    Purpose of the Study:

    • To evaluate the long-term functional outcomes and symptom reduction in children and adults with severe pes planovalgus following surgical correction.
    • To determine if surgical intervention is justified by functional gains despite potentially subtle changes in hindfoot morphology.

    Main Methods:

    • A retrospective case series involving 17 children and one adult with severe pes planovalgus.
    • Assessment of functional improvement and symptom reduction through patient and parent testimony.

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  • Clinical and radiographic examinations performed several years after surgical treatment.

    • Main Results:

    • Patients reported considerable and lasting functional improvements post-surgery.
    • A marked decrease in symptoms was observed in the majority of cases.
    • Hindfoot shape, assessed via shoe wear and radiographs, showed minimal differences pre- and post-surgery, highlighting that functional gain is the primary outcome.

    Conclusions:

    • Surgical intervention for severe pes planovalgus in children and adults can yield significant and enduring functional benefits.
    • The improvement in function and reduction in symptoms justify surgical treatment, even when radiographic changes are not dramatic.
    • This study underscores the importance of functional outcomes in assessing the success of surgical correction for pediatric flat feet.