Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2016; 7(1): 1-7
Published online Jan 18, 2016. doi: 10.5312/wjo.v7.i1.1
How to approach the pediatric flatfoot
Ettore Vulcano, Camilla Maccario, Mark S Myerson
Ettore Vulcano, Camilla Maccario, Mark S Myerson, Institute for Foot and Ankle Reconstruction at Mercy Medical Center, Baltimore, MD 21202, United States
Author contributions: Vulcano E, Maccario C and Myerson MS contributed equally to this work.
Conflict-of-interest statement: The authors and their immediate family declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ettore Vulcano, MD, Institute for Foot and Ankle Reconstruction at Mercy Medical Center, 301 Saint Paul Place, Baltimore, MD 21202, United States. ettorevulcano@hotmail.com
Telephone: +1-410-3329242
Received: April 7, 2015
Peer-review started: April 8, 2015
First decision: July 6, 2015
Revised: October 19, 2015
Accepted: November 3, 2015
Article in press: November 4, 2015
Published online: January 18, 2016

The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery, when it is necessary, and what procedure to be done. A thorough history, clinical examination, and imaging should be performed to guide the surgeon through an often complex treatment path. Surgical technique can be divided in three categories: Soft tissue, bony, and arthroereisis. This paper will describe the joint preserving techniques and their application to treat the pediatric flatfoot deformity.

Keywords: Flatfoot, Flexible, Arthroereisis, Pediatric, Planovalgus, Rigid, Pes planus

Core tip: This paper discusses the authors’ approach to treating the pediatric flatfoot based on the their extensive clinical and surgical experience.