title: Procedure selection for the flexible adult acquired flatfoot deformity.
abstract: Adult acquired flatfoot represents a spectrum of deformities affecting the foot and the ankle. The flexible, or nonfixed, deformity must be treated appropriately to decrease the morbidity that accompanies the fixed flatfoot deformity or when deformity occurs in the ankle joint. A comprehensive approach must be taken, including addressing equinus deformity, hindfoot valgus, forefoot supinatus, and medial column instability. A combination of osteotomies, limited arthrodesis, and medial column stabilization procedures are required to completely address the deformity.
authors: Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Matthew J
authors: MJ
authors: Hentges
authors: Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Kyle R
authors: KR
authors: Moore
authors: Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address: acatanzariti@faiwp.com.
authors: Alan R
authors: AR
authors: Catanzariti
authors: Private Practice, Associated Foot and Ankle Centers of Northern Virginia, 1721 Financial Loop, Lake Ridge, VA 22192, USA.
authors: Richard
authors: R
authors: Derner
mesh_terms: D000328:Adult; D003657:Decision Making; D005413:Flatfoot / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D005528:Foot / Q000000981:diagnostic imaging; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology; D019637:Orthopedic Procedures; D010808:Physical Examination; D037081:Posterior Tibial Tendon Dysfunction / Q000601:surgery; D011859:Radiography; D013710:Tendons / Q000033:anatomy & histology
keywords: Adult acquired flatfoot; Flexor digitorum longus tendon transfer; Lateral column lengthening; Posterior calcaneal displacement osteotomy; Posterior tibial tendon dysfunction