Acquired adult flat foot deformity: surgical treatment. Case report
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Abstract
This study describes a case of a 55-year-old female patient with pain of one year old, with inflammation in the inner ankle area and difficulty walking and standing on tiptoe.
After performing clinical assessment and imaging tests, the patient is diagnosed with acquired flat foot of the adult, posterior tibial dysfunction, longitudinal break of the posterior tibial tendon and bilateral hallux abductus valgus.
Next, the surgical procedure performed is described, consisting of 4 main approaches; repair of the posterior tibial tendon, subtalar fusion, cuneometatarsal fusion of the first radius using the Lapidus technique and exostectomy of the bunion of the first metatarsal head.
In the postoperative evaluation, a decrease in painful symptoms was observed, as well as a considerable functional improvement.
A greater knowledge of this type of surgical techniques and their advantages and disadvantages would allow that in situations of failure of conservative treatment, a greater number of patients can achieve a better quality of life. It is necessary a long term follow up of this type of cases, as well as a detailed study of the surgical techniques that allow a greater therapeutic range for the treatment of this type of pathologies.
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