For such reason the addition of bony procedures and/or arthroereisis is warranted. ![]() ![]() It is unlikely that a soft tissue procedure alone can successfully correct the deformity. We can divide the surgical techniques used to correct this deformity into three categories: Soft tissue, bony (osteotomies and arthrodesis), and arthroereisis. The treatment to correct the flat foot deformity can be nonsurgical or surgical. The most important challenge for the physician is to distinguish a condition that may have a benign natural history from those that may cause disability if left untreated. Often children are asymptomatic, and the main concern is the foot shape or the parents’ concerns for future impairment. Indeed, the etiology and management of the deformity may be quite different. ![]() A common mistake that is made by surgeons is to consider the pediatric flatfoot as a small version of the adult flatfoot deformity. Despite being typically idiopathic, it may be associated with neuromuscular diseases, tarsal coalitions, and the accessory navicular syndrome. Pes planovalgus is a common condition in children.
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