Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options.Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures.Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options.

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Fourty two patients with hallux valgus and bunion who underwent M.I.S. surgery, (Minimal Insicion Surgery) were studied retrospectively. 100% presented pain, the inter-metatarsal angle less than 15º. The technique employed has been, 1º metatarsal distal osteotomy (Reverdin-Isham), abductor Hallux tenotomy, and phalange osteotomy (Akin), in all cases by M.I.S. Average age 13 years and average follow-up 5.5 years. Average time of hospitalization 7 hours. Analgesyc used ibuprofen. Patient was able to walk three hours after the surgery was done. The angles measured revealed a significant change compared to the preoperative time.