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Adult-Acquired Flatfoot Deformity

Etiology, Diagnosis, and Management

Abousayed, Mostafa M. MD1,a; Alley, Maxwell C. BA1; Shakked, Rachel MD2; Rosenbaum, Andrew J. MD1

doi: 10.2106/JBJS.RVW.16.00116
Review Article
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Disclosures

  • ➢ Adult-acquired flatfoot deformity is a complex process attributed mainly to posterior tibial tendon insufficiency.
  • ➢ Thorough physical examination and radiographs of the foot and ankle are usually adequate to achieve diagnosis.
  • ➢ Nonoperative management is the first line of treatment and has a reported success rate ranging from 67% to 90%.
  • ➢ A multitude of surgical options are available, particularly for stage II, with no consensus on the best options.
  • ➢ Fusions are associated with poor outcomes; hence, there is a trend toward earlier reconstruction before arthritis ensues.

1Division of Orthopaedic Surgery, Albany Medical College, Albany, New York

2Division of Orthopaedic Surgery, The Rothman Institute at Jefferson, Philadelphia, Pennsylvania

aE-mail address for M.M. Abousayed: mostafa.abousayed@gmail.com

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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