Bordelon R L
Foot Ankle. 1980 Nov;1(3):143-50. doi: 10.1177/107110078000100303.
One hundred feet in 50 children between the ages of 3 and 9 years with a diagnosis of idiopathic hypermobile flatfoot had a custom-molded insert ordered. A specific method of casting, correcting the various components of the deformity was utilized. An 1/8-inch polypropolene insert was fabricated from the positive cast. The insert was worn in leather shoes with a long counter, steel shank, and Thomas heel. The flatfoot was evaluated and classified by measurement of the talometatarsal angle on a standing lateral X-ray. The insert was fabricated so that the standing lateral talometatarsal angle was corrected to neutral with the insert on the foot and the foot in the shoe. The preliminary reports indicate that a correction can be obtained at the rate of 0.41 degrees per month or approximately 5 degrees per year. There was no significant loss of motion of the foot or the ankle. Perhaps this regimen may be utilized in those children with a hypermobile flatfoot for whom treatment is advised.
对50名年龄在3至9岁、诊断为特发性可过度活动扁平足的儿童，定制了100个定制模压鞋垫。采用了一种特定的石膏取模方法来矫正畸形的各个组成部分。根据阳模制作了一个1/8英寸厚的聚丙烯鞋垫。该鞋垫用于配有长后跟、钢中底和托马斯跟的皮鞋中。通过站立位侧位X线片测量距骨-跖骨角对扁平足进行评估和分类。制作的鞋垫能使站立位侧位距骨-跖骨角在足部穿着鞋垫且穿着鞋子时矫正至中立位。初步报告表明，矫正速度可达每月0.41度或每年约5度。足部或踝关节没有明显的活动度丧失。或许这种治疗方案可用于建议进行治疗的可过度活动扁平足儿童。
