Surgical Management Of Flexible Flat Foot

The human foot is a highly complex structure. It has two major functions. To support the body in standing and progression; to lever it forwards in walking, running and jumping.The human foot, alone among primates, is normally arched in its skeletal basis. Its medial margin arches up between the heel and the ball of the big toe, forming a visible and obvious medial longitudinal arch. Bony factors do not play a significant role in maintaining the stability of this arch. Ligaments are important, but are unable to maintain the arch entirely on their own.Loss of the medial longitudinal arch of the foot results in pes planus or flat foot deformity. The term is used to describe a mixture of anatomical variations and pathological conditions. In children and adolescents the most common disorders seen include flexible flatfoot, tarsal coalition, calcaneovalgus foot, accessory navicular bone and congenital vertical talus.Flexible flatfoot in most cases is a physiological variant rather than a pathological condition. It occurs in all infants and is common in children and adolescent. Actually the medial longitudinal arch develops during the first decade of life. Many etiological factors contribute to flexible flatfoot, including familial tendency, generalized ligamentous laxity, obesity as will as shoe-wearing in early childhood. While the definit aetiology is unknown..