الفهرس 
ABSTRACTOnly 14 pages are availabe for public view
 |  | from | 148 |  |  |
| | | from | 148 | | |
Abstract
Summary
Deformities of the lower limbs are very common in children, mostly physiological and need no treatment at all. Ninety percent of clinic visits for foot problems are due to flatfoot. Flatfoot rarely causes disability, however it is still one of the major concerns of parents. In general it is believed to lead to gait disturbances later. The flatfoot has three elements: sagging of the medial arch, valgus of the heel and forefoot abduction. Flattening of the medial longitudinal arch is a common finding in patients with flatfoot that is found in both pediatric and adult populations.
Clinically flatfeet can occasionally cause pain, with more specific complaints after having exercises or long walks. The pain is present and diffuse in the feet and lower legs. The researchers found that the adolescent patients who are complaining of a moderate to severe flatfoot demonstrated nearly double the rate of anterior knee pain and intermittent back pain.
Despite of high presence of pediatric and adolescents flatfoot, there is no universal agreement on the best way of treatment of this disorder. Many ways are used nowadays for management of pediatric and adolescents with flexible flatfeet, conservative in the form of analgesics, footwear selection and modifications, foot orthoses and stretching and strengthening exercise. Many operations are used if failed conservative treatment such as Evans calcaneal osteotomy, double calcaneal osteotomy, subtalar arthroereisis and subtalar arthrodesis.
The purpose of this study was to test validity and efficacy of subtalar arthroereisis technique in treatment of pediatric and adolescents’ flexible flatfeet that was operated at orthopedic department Beni Suef University Hospital.
A prospective study was carried out on 19 patients (30 feet) with painful idiopathic flexible flatfeet in the period between June 2019 and June 2021. All cases were selected from the foot and ankle outpatient clinic of Beni Suef University hospital.