Fernández de Retana Pablo, Alvarez Fernándo, Viladot Ramón
Department of Orthopedic Surgery, Hospital San Rafael, Passeig Vall d'Hebron 107-117, 08035 Barcelona, Spain.
Foot Ankle Clin. 2010 Jun;15(2):323-35. doi: 10.1016/j.fcl.2010.01.001.
Pediatric and juvenile flatfoot is a common problem in childhood, present in one in nine children. The morphologic characteristics of this condition are heel valgus and flattening of the medial longitudinal arch. Other characteristics are usually observed, such as supination and abduction of the forefoot, tightening of the Achilles tendon, and hypertonia of the peroneal muscles. Most children with flatfoot will undergo spontaneous correction or become asymptomatic; those that are symptomatic require treatment. Subtalar arthroereisis, often combined with Achilles tendon lengthening, is a simple and effective way to treat flexible flatfoot in children. Mid- and long-term results are good, and the procedure does not prevent future treatments.
小儿及青少年扁平足是儿童期常见问题，每九个孩子中就有一个患病。这种病症的形态学特征是足跟外翻和内侧纵弓扁平。通常还会观察到其他特征，如前足内旋和外展、跟腱紧张以及腓骨肌张力亢进。大多数扁平足儿童会自行矫正或无症状；有症状的患儿则需要治疗。距下关节制动术，常与跟腱延长术联合使用，是治疗儿童柔韧性扁平足的一种简单有效的方法。中长期效果良好，且该手术不影响未来的治疗。
