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Adult-Acquired Flatfoot Deformity: Etiology, Diagnosis, and Management

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>> Adult-acquired flatfoot deformity is a complex process attributed mainly to posterior tibial tendon insufficiency.>> Thorough physical examination and radiographs of the foot and ankle are usually adequate to achieve… Click to show full abstract

>> Adult-acquired flatfoot deformity is a complex process attributed mainly to posterior tibial tendon insufficiency.>> Thorough physical examination and radiographs of the foot and ankle are usually adequate to achieve diagnosis.>> Nonoperative management is the first line of treatment and has a reported success rate ranging from 67% to 90%.>> A multitude of surgical options are available, particularly for stage II, with no consensus on the best options.>> Fusions are associated with poor outcomes; hence, there is a trend toward earlier reconstruction before arthritis ensues.

Keywords: adult acquired; acquired flatfoot; flatfoot deformity; etiology

Journal Title: JBJS Reviews
Year Published: 2017

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