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Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and furt...

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Autores principales: Bresnahan, Philip J., Juanto, Mario A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026255/
https://www.ncbi.nlm.nih.gov/pubmed/32117826
http://dx.doi.org/10.3389/fped.2020.00019
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author Bresnahan, Philip J.
Juanto, Mario A.
author_facet Bresnahan, Philip J.
Juanto, Mario A.
author_sort Bresnahan, Philip J.
collection PubMed
description Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options. Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures. Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options.
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spelling pubmed-70262552020-02-28 Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment Bresnahan, Philip J. Juanto, Mario A. Front Pediatr Pediatrics Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options. Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures. Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options. Frontiers Media S.A. 2020-02-11 /pmc/articles/PMC7026255/ /pubmed/32117826 http://dx.doi.org/10.3389/fped.2020.00019 Text en Copyright © 2020 Bresnahan and Juanto. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Bresnahan, Philip J.
Juanto, Mario A.
Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title_full Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title_fullStr Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title_full_unstemmed Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title_short Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment
title_sort pediatric flatfeet—a disease entity that demands greater attention and treatment
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026255/
https://www.ncbi.nlm.nih.gov/pubmed/32117826
http://dx.doi.org/10.3389/fped.2020.00019
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