Reconstruction of the Supple Flatfoot with the Concept of Planal Dominance

Abstract

Management of the adolescent and flexible flatfoot deformity represents a complex task. It requires biomechanical knowledge and analytic mechanics to determine deformity that compensates in a primary plane of dominance. This in-depth review presents clinical presentation, radiographic evaluation and mechanisms of occurrence. It also will propose surgical management for three types of flatfoot deformity as seen compensating in a dominant plane. In discussion of the various types, biomechanical focus concerning articular geometry and its modes of compensation will be highlighted.