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Flatfoot Treatment

Mild flatfoot no need for the treatment. To have symptoms, the severe flatfoot age at 10 years of age may take a passive or active calf triceps stretch, relieving the spasm-induced calf and foot discomfort. Medial thickening of soles wear after 0.3 ~ 0.6cm of Thomas orthopedic shoes, or add at the sole inside one of the 0.5 ~ 0.75cm thick enough to support the longitudinal arch pad, can reduce or eliminate pain and discomfort, but the role of non-orthopedic.

If surgery can not be the relief of pain, and the impact of weight-bearing walking and wearing shoes, the heavy flatfoot patients age> 10 years of age, the indications for surgery are. Surgical treatment of tendon displacement there is, ligaments and other soft tissue tightening operation, there is also inter-tarsal arthrodesis, three fixed and tarsal joints and other bone osteotomy surgery, but a simple soft-tissue surgery. A single inter-tarsal arthrodesis due to poor efficacy, have been rejected. At present, many tend to soft tissue and bone and joint surgery applications, its effect is greatly increased.

X-ray films are usually based on measurements determined that decreased longitudinal arch of the foot positions, the selection method. Zhou Giannesstras surgery are wedge arthrodesis with scaphoid tight plantar ligament and anterior tibial, posterior tibial tendon transfer for Zhou ligaments wedge flatfoot caused by relaxation of its better efficacy, the main points of its operation are:

  • the inside by the foot longitudinal incision from the show, a boat, wedge anterior tibial bone and posterior tibial tendon.
  • point cut off from the anterior tibial, posterior tibial tendon, lateral plantar ligament with a boat, and at distance, a boat, the medial wedge of bone, set off a from front to back the joint capsule, ligament flap, pay attention to the deep surface of the valve to retain a thin layer of bone-chip.
  • Zhou resection, wedge articular cartilage, from the boat, the dorsal lateral wedge metatarsal bone, respectively, one-hole drilling, with catgut or nylon line fixed Zhou wedge joint position on the correction.
  • tightening suture joint capsule, ligament plantar flap and the plantar ligament after the boat, and then the anterior tibial, posterior tibial tendon stump suture weave together, from the scaphoid bone of the pre-hole the plantar side of the anterior tibial tendon to the dorsal posterior tibial traction and suture fixed to the periosteum on the dorsal foot.
  • after fixation with plaster cast patients 8 to 12 weeks. After the initial situation there is over-corrected, but the weight-bearing walking 3 to 4 weeks may gradually disappear.

    Joint loose from the boat flatfoot often have obvious valgus deformity of the calcaneus. Patients is treated by take Grice extra-articular subtalar arthrodesis, correction of flatfoot both, without affecting the full development of the vertical. In front of the lateral oblique surgical incision through the tarsal sinus exposed by removing the sinus tarsal bone cortex, the fill of autologous cancellous bone section, and fixed with a screw. After external fixation with plaster until the bone healed. For older children or teenagers, three foot arthrodesis is a method worthy of recommendation.

    • Submitted by Health Studies on Tue, 04/07/2009 - 16:50
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