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Indian Journal of Orthopaedics Surgery


Evaluation of children with flatfoot on the basis of clinical features, footprint analysis and imaging studies


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Author Details: Vinay N, Rahul Kumar

Volume : 1

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 221

Article End Page : 225


Abstract

Introduction: There is no consensual agreement on the strict clinical or radiographic criteria for defining a flatfoot.  Traditionally, a flatfoot has been defined subjectively as a weight-bearing foot with an abnormally low or absent longitudinal arch. This definition is based solely upon the static anatomic comparison of the height of the arch within a population. It fails to take into consideration the etiology of the flatfoot, the functional relationships between the bones, and the presence or evidence-based expectation of future pain or disability.
Methodology: All patients in the study were evaluated thoroughly using detailed history and complete physical examination with special emphasis on weight, family history, findings like tight tendoachilles, ligamentous laxity, intermalleolar distance and gait analysis. The examination included biomechanical examination of hip, knee, foot and ankle. Associated conditions were also given importance to rule out any syndromic flat foot.
Results: The younger the age group the better they respond to orthotic treatment. More severe the deformity the better they respond to orthotic treatment. Symptomatic fff have better results than asymptomatic fff. Early the orthotic treatment received better is the result. Arch support helps in relieving clinical features like pain and out toeing.
Conclusion: Arch index may help in improvement of radiographical angles like cp, tca and tma. There is no short term and long term complications related to using of arch support.

Keywords: Flatfoot, Arch index, Radiology, Tendoachilles