Flexible pediatric and adolescent pes planovalgus: conservative and surgical treatment options.
Pediatric and adolescent flexible flatfoot is a pathomechanically complex deformity. Conservative and surgical treatment is directed at realigning the foot and alleviating symptoms. When surgical intervention is considered, there are various methods and techniques that may be performed to realign the foot. The treatment goals are directed first at resolution of pain, and second at the realignment of the foot. A specific treatment algorithm does not exist, although planal dominance influences direct the surgeons when considering surgical intervention. Open physis often dictates the direction of the reconstruction. Attempts at essential joint preservation should be strongly considered in this young patient population. This article provides an overview of the common treatment pathways that highlight methods to structurally realign the pediatric and adolescent flatfoot.
Blitz
Neal M
NM
Department of Orthopaedic Surgery, Bronx-Lebanon Hospital Center, Bronx, NY 10457, USA. nealblitz@yahoo.com
Stabile
Robert J
RJ
Giorgini
Renato J
RJ
DiDomenico
Lawrence A
LA
D000293:Adolescent; D002648:Child; D005413:Flatfoot / Q000601:surgery* / Q000628:therapy; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods