Orthopedics and Traumatology Specialist Assoc. Prof. Dr. Aybars Kıvrak gave important information about flat feet, the most common foot deformity of childhood.
Flat feet; is a condition characterized by the collapse of the arch on the inside of the foot and is frequently seen in the childhood age group. It is more common in boys than in girls. In addition, it is also more common in overweight children (Excess weight puts excessive load on the arch of the foot, causing it to flatten). It is usually idiopathic (cause unknown) or it can be a sign of an underlying disease (such as neuromuscular diseases, tarsal coalition). The underlying ligament laxity and contractures of the muscles around the ankle are blamed for the formation mechanism.
The treatment approach to flat feet seen in children and adults is not the same. In the first 10 years of life, it is seen that most children with flat feet regress. These patients usually do not have any complaints. Patients with complaints less frequently may experience pain around the sole of the foot and ankle. During this period, family concerns and cosmetic problems come to the fore. Families are concerned that their children may develop a permanent walking disorder or that they may be prevented from doing certain professions in the future.
The most important point to distinguish in flat feet in children is whether this event is a part of the child's general development or a pathology that may cause permanent disability in the future if left untreated. This can be determined by an evaluation by an expert on the subject.
Assoc. Prof. Dr. Aybars Kıvrak said, “The treatment of flat feet in children varies depending on the underlying causes. If the doctor thinks that this condition is a natural part of the child’s development, the patient is only called for routine doctor check-ups. There is not enough evidence in the literature that the patient will benefit from the use of special shoes or devices in these patients. In addition, the situation is a little different in childhood flat feet seen due to muscle and bone diseases. The use of special shoes-devices and surgical treatments (soft tissue and bone surgeries) come to the forefront in these patients.”
