Conservative correction of the transverse arch of the foot in patients with flat foot

Abstract

Objective. The aim of the study is to analyze the design features of orthopedic appliances used to preserve or restore the transverse arch of the foot and determine the most promising product.
 Materials and methods. Orthopedic products that were used to correct forefoot flattening in 350 patients aged 1782 years were analyzed. Of the total number of patients, 321 were women, and only 29 were men; 252 people were diagnosed with transverse flatfoot of stages 12, while maintaining high elasticity of the arches, and in 34 cases, there was a pronounced rigidity. Flatness was combined with valgus deformity of one finger in the range of 20300 in 218 patients. The pathological process reached stages 34, and the degree of elasticity of the arches was low in 98 patients. The products were used after various operations in 86 patients, while they were used as a conservative correction in the rest.
 Results. All orthopedic appliances were divided into groups according to several criteria (design features and functional perspectives). An analysis of the strengths and weaknesses of the first three allowed us to identify the fourth group, which included products that provided the ability to adjust the size of the forefoot and at the same time restored the transverse arch. They were successfully used both in the rehabilitation period, after various reconstructive operations, and with conservative treatment.
 Conclusion. One of the main goals in the treatment of this category of patients is restoration of the transverse arch of the foot during flattening (surgically, conservatively, or in combination), should be used according to indications and, if necessary, be combined with other corrective elements. All this will allow to achieve both therapeutic and cosmetic results and ultimately improve their quality of life.

Biomechanics of transverse axis of medial longitudinal arch of children's foot based on 3D scanning

“…They believed that this discovery would help improve the clinical treatment of foot deformity and the research of foot motor function ( 1 ). Bardyugov PS et al believed that in the process of treating foot deformities, reconstructing the structure of the TAA of the foot can achieve the effect of treatment and beauty, and improve the quality of patients' life ( 27 ). In this study, there are differences in the transverse arch parameters between flatfoot and high-arched foot and normal foot, indicating that there are not only changes in the longitudinal arch, but also changes in the transverse arch of flatfoot and high-arched foot.…”