title: The RAM classification: a novel, systematic approach to the adult-acquired flatfoot.
abstract: In summary, prior classifications have provided broad guidelines for treating the AAFF without accounting for case-specific variables in determining a treatment plan. The current system breaks down the deformity into three independent levels of involvement: the rearfoot, the ankle, and the midfoot. Via a simple, easy to remember, and reproducible schema based off the original Johnson and Strom classification, each level can be independently evaluated and a patient-specific surgical treatment plan can be formulated based on our most current understanding of the AAFF.
authors.affiliation: Rothman Institute of Orthopaedics at Thomas Jefferson University Hospital, 925 Chestnut Street, Philadelphia, PA 19107, USA. steven.raikin@rothmaninstitute.com
authors.forename: Steven M
authors.initials: SM
authors.lastname: Raikin
authors.forename: Brian S
authors.initials: BS
authors.lastname: Winters
authors.forename: Joseph N
authors.initials: JN
authors.lastname: Daniel
mesh_terms: D000328:Adult; D005260:Female; D005413:Flatfoot / Q000145:classification* / Q000503:physiopathology / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000145:classification* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D037081:Posterior Tibial Tendon Dysfunction / Q000145:classification* / Q000503:physiopathology / Q000601:surgery; D017410:Practice Guidelines as Topic; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome