Subtle Dynamic Flatfoot Deformity: Is It More Than Stage I PTTD?

We present our preferred treatment strategy. Nonoperatively, patients are managed with a stretching program focused on the hamstrings and gastrocsoleus as well as the use of orthotics and night splint. Operative treatment consists of treatment of any areas of impingement and correcting the biomechanics of the foot and ankle with a Strayer, Cotton Osteotomy, and lateral column lengthening. Resection of the accessory facet of the talus is optional depending on preoperative symptoms.
Source: Techniques in Foot and Ankle Surgery - Category: Orthopaedics Tags: Special Focus: Adult Acquired Flatfoot Deformity: The Pandora’s Box of Foot and Ankle Surgery Source Type: research