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 deformity, usually the heel also points outwards. This can be very painful and make finding footwear difficult.
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).
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.
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:
