Valoración de los resultados del tratamiento quirúrgico del pie plano estático.

The fundamental deforrnlty observed in flat feet is valgus of the heel. A helicoid movernent of the rear part of the foot with supination of the front part is always present, We review the patients teatred surgically (mainly arthrodesis) in their service over a period of ten years.The photopodogram constitutes an excellent method for monitoring evolution of flat feet. Tite latter as a result of a vertical astragalus cannot be reduced; surgery in these cases should therefor be earty. Tite remaining types of flat feet tend to cure with conservative treatment. Surgery ls rarely indicated.In the adult, surgical indication involves pain (usually secondary to arthrosis). the internal arch and subastragalus joint should be arthrodesed. In cases of abduction of the front part of the foot, the approach by Evans, i. e., lengthening the external arch of the foot, usually yields satisfactory results.

The fundamental deforrnlty observed in flat feet is valgus of the heel. A helicoid movernent of the rear part of the foot with supination of the front part is always present, We review the patients teatred surgically (mainly arthrodesis) in their service over a period of ten years.The photopodogram constitutes an excellent method for monitoring evolution of flat feet. Tite latter as a result of a vertical astragalus cannot be reduced; surgery in these cases should therefor be earty. Tite remaining types of flat feet tend to cure with conservative treatment. Surgery ls rarely indicated.In the adult, surgical indication involves pain (usually secondary to arthrosis). the internal arch and subastragalus joint should be arthrodesed. In cases of abduction of the front part of the foot, the approach by Evans, i. e., lengthening the external arch of the foot, usually yields satisfactory results.