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Treatment Options:
- Inserts
- Surgery
Inserts:
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Simply are only effective in controlling the flexible flatfoot
- Rigid flatfeet and severely pronated feet seldom tolerate
inserts
Surgical Options:
- Achilles lengthening of some type and variety
- Calcaneal osteotomies to address
the dominant plane
- Arthroresis (6-10 years of age)
- Isolated fusions to address DJD or tarsal coalition
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Calcaneal Osteotomies (primary plane of correction):
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Evans (transverse)
- Sliding (frontal or sagittal)
Fusions:
- Subtalar (frontal)
- Talonavicular (frontal
and transverse)
- Triple (all)
- Medial column (sagittal)
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Right foot was corrected with Evans calcaneal osteotomy and left foot is prior to surgery. Comparison
is dramatic.
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Evans calcaneal osteotomy using Orthofix Mini-rail
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Sliding calcaneal osteotomy
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Calcaneal tubercle is slid medially to transfer the anatomical axis of the calcaneus
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