The operative correction of symptomatic flat foot deformities in children: The relationship between static alignment and dynamic loading

D. E. Westberry, Jon Davids, J. P. Anderson, L. I. Pugh, R. B. Davis, J. W. Hardin

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

At our institution surgical correction of symptomatic flat foot deformities in children has been guided by a paradigm in which radiographs and pedobarography are used in the assessment of outcome following treatment. Retrospective review of children with symptomatic flat feet who had undergone surgical correction was performed to assess the outcome and establish the relationship between the static alignment and the dynamic loading of the foot. A total of 17 children (21 feet) were assessed before and after correction of soft-tissue contractures and lateral column lengthening, using standardised radiological and pedobarographic techniques for which normative data were available. We found significantly improved static segmental alignment of the foot, significantly improved mediolateral dimension foot loading, and worsened fore-aft foot loading, following surgical treatment. Only four significant associations were found between radiological measures of static segmental alignment and dynamic loading of the foot. Weakness of the plantar flexors of the ankle was a common post-operative finding. Surgeons should be judicious in the magnitude of lengthening of the plantar flexors that is undertaken and use techniques that minimise subsequent weakening of this muscle group.

Original languageEnglish (US)
Pages (from-to)706-713
Number of pages8
JournalBone and Joint Journal
Volume95 B
Issue number5
DOIs
StatePublished - May 2013
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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