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Management of
Flatfoot
The Best Foot Forward
Dr. Shah Alam Khan
MS,DNB,MRCS(Ed),FRCS, M.Ch.Orth (Liverpool)
Associate Professor
Department of Orthopedics
All India Institute of Medical Science
New Delhi, INDIA
Why a CME on Foot &
Ankle ?
Issues
• Define Flat-foot
• Clinical Features
• Investigations
•Treatment
Indications
• Treatment

Options
•
Definition
• No Universally
accepted
Radiological or
Clinical
definition
Lateral Talus–
•

First
metatarsal
angle (Meary's
angle)
Grading
.
.
Denis A Pied plat valgus statique
-
Encyclopedie Medico Chirurgicale
Appareil
.
,
:
Locomoteur Paris France Editions
;
Techniques 1974
Clinical Features
• Depressed longitudinal arch in 23%
of the adult population Harris R, Beath T:Army (
Foot Survey: An Investigation of Foot Ailments in Canadian soldiers,
Ottawa: National Research Council of Canada; 1947:1)
•

-
Pre vale nce offla tfeetin Childre n 4
. %
13 yrs w as 2 7
(
,
Rodriguez et alPaediatrics,
)
1999

• Only 5 to 10% of Adult & Pediatric

•

flatfoot need Active treatment(Smith

MA. Flat feet in children. Br Med J. 1990;301:1331)


Management of Flatfoot
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