On Excision of the Scaphoid Bone for the Relief of Confirmed FLAT-FOOT.1

Davy, Richard

doi:10.1016/s0140-6736(01)90098-4

Cited by 6 publications

(2 citation statements)

References 0 publications

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“…Bone excision operations [67][68][69] have been abandoned because of their obvious destructive nature. Arthrodesis of one or more of the joints in the subtalar complex has been abandoned as treatment for FFF because of the detrimental effect of eliminating the shock-absorbing function of that important joint complex.…”

Section: Treatmentmentioning

confidence: 99%

Flexible flatfoot in children and adolescents

Mosca

2010

Journal of Children's Orthopaedics

269

229

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Flexible flatfoot is a normal foot shape that is present in most infants and many adults. The arch elevates spontaneously in most children during the first decade of life. There is no evidence that a longitudinal arch can be created in a child's foot by any external forces or devices. Flexible flatfoot with a short Achilles tendon, in contrast to simple flexible flatfoot, is known to cause pain and disability in some adolescents and adults. Joint-preserving, deformity-correcting surgery is indicated in flexible flatfeet with short Achilles tendons when conservative measurements fail to relieve pain under the head of the plantar flexed talus or in the sinus tarsi area. Osteotomy is the fundamental and central procedure of choice. In almost all cases, Achilles tendon lengthening is required. In some cases, rigid supination deformity of the forefoot is present, requiring identification and concurrent treatment.

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Section: Treatmentmentioning

confidence: 99%

Flexible flatfoot in children and adolescents

Mosca

2010

Journal of Children's Orthopaedics

269

229

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“…Bone excision operations [16][17][18] have been abandoned because of their obvious destructive nature. Arthrodesis of Z1 joint in the subtalar complex has been abandoned as treatment for FFF, because of the detrimental effect of eliminating the shock-absorbing function of that important joint complex.…”

Section: Historical Perspectivementioning

confidence: 99%

Management of the Painful Adolescent Flatfoot

Mosca

2014

Techniques in Foot &Amp; Ankle Surgery

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Flexible flatfoot (FFF) is a normal foot shape that is present in most infants and many adolescents and adults. The arch elevates spontaneously in most children during the first decade of life. There is no evidence that a longitudinal arch can be created in a child's foot by any external forces or devices. FFF with a short Achilles tendon, in contrast to simple FFF, is known to cause pain and disability in some adolescents and adults. Joint-preserving, deformity-correcting surgery is indicated in flexible flatfeet with short Achilles tendons when conservative measurements fail to relieve pain under the head of the unyielding plantar flexed talus or in the sinus tarsi area. The calcaneal lengthening osteotomy has been shown to most reliably correct all components of hindfoot valgus/eversion deformity at the site of deformity and relieve symptoms. In almost all cases, Achilles tendon or gastrocnemius tendon lengthening is required. In some cases, rigid supination deformity of the forefoot is present, requiring identification and concurrent correction.

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