Flatfoot Deformity (Planovalgus)
The arch of the foot is maintained by strong ligaments and tendons, which in some patient can fail over time and stretch.
This leads to a progressive collapse of the arch of the foot which can result in shift of the foot and ankle bones out of place.
This is a progressive condition which typically gets worse and eventually leads to severe arthritis of the foot and ankle. The current medical term used for this problem is progressive collapsing foot deformity (PCFD).
Flatfoot deformities can be classified as flexible or rigid, depending on the amount of damage and the resulting deformity.
This is a complex three dimensional deformity. Every patient is different and requires a different set of problems addressed.
Treatment options:
Non operative treatment
Orthotics review for corrective insoles and modification of shoes
Ankle bracing
Physiotherapy for stretching and strengthening exercises
Corticosteroid and/or PRP injections
Surgical treatment is usually reserved for those who have ongoing symptoms despite the above treatments. The specific operation recommended depends on the type and location of the problem.
Often, tendons and ligaments around the foot and ankle can be reconstructed to provide stability. Sometimes, the bones may have to be realigned.
Depending on the severity of the disease, motion preserving treatment may be offered, or fusion surgery if the disease is very advanced.
Further scans will often be required for surgical planning
Surgery performed for this condition include:
