More than 90% of all visits to children orthopedist is related to pathology of feet of children age, flat foot in particular. The review present actual data concerning classification, etiology and characteristics of pathological anatomy of disease, diagnostic techniques and features of gait. The data related to present methods of conservative and operational treatment of flat foot is presented.

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About the authors

M. Kh Timaev

The Saratovskiiy research institute of traumatology and orthopedics of Minzdrav of Russia

410002, Saratov, Russian Fedration

A. V Sertakova

The Saratovskiiy research institute of traumatology and orthopedics of Minzdrav of Russia

410002, Saratov, Russian Fedration

S. A Kurkin

The Saratovskiiy research institute of traumatology and orthopedics of Minzdrav of Russia

410002, Saratov, Russian Fedration

S. A Rubashkin

The Saratovskiiy research institute of traumatology and orthopedics of Minzdrav of Russia

410002, Saratov, Russian Fedration


  1. Evans A.M., Rome K. A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet. Eur. J. Phys. Rehabil. Med. 2011; 47(1): 69-89.
  2. Khalid Z., Rai MA., Mobeen B., Amjad I. Pes planus and genu valgum: factors associated. Professional Med. J. 2015; 22(10): 1237-44.
  3. Wilson M.J. Pes planus (2008). Avaliable at:
  4. Fabri G. Clinical practice. Static, axial, and rotational deformities of the lower extremities in children. Eur. J. Pediatr. 2010; 169(5): 529-34.
  5. Nemeth B. The diagnosis and management of common childhood orthopedic disorders. Curr. Probl. Pediatr. Adolesc. Health Care. 2011; 41(1): 2-28.
  6. Harris E.J., Vanore J.V., Thomas J.L., Kravitz S.R., Mendelson S.A., Mendicino R.W. et al. Diagnosis and treatment of pediatric flatfoot. J. Foot Ankle Surg. 2004; 43(6): 341-73.
  7. Chang J.H., Wang S.H., Kuo C.L., Shen H.C., Hong Y.W., Lin L.C. Prevalance of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur. J. Pediatr. 2010; 169(4): 447-52.
  8. Shih Y.F., Chen C.Y., Chen W.Y., Lin C.H. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study. BMC Musculoskelet Disord. 2012; 13(1): 13-31.
  9. Mortazavi S.M.J., Espander R., Baghdadi T. Flatfoot in children: How to approach? Iran. J. Pediatr. 2007; 17(2): 163-70.
  10. Christman R.A. Normal development and developmental variants of children foot. In: Christman RA. Foot and Ankle Radiology. St. Louis: Churchill Livingstone; 2003: 57-96.
  11. Menz H.B. Biomechanics of the Ageing Foot and Ankle: a Mini-Review. Gerontology. 2015; 61: 381-8.
  12. Sachithanandam V., Josephthe B. Influence of footwear on the prevalence of flat Foot. A survey of 1846 skeletally mature persons. J. Bone Joint Surg. Br. 1995; 77(2): 254-7.
  13. Moraleda L., Mubarak S. Flexible flatfoot: differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients. J. Pediatr. Orthop. 2011; 31(4): 421-8.
  14. Cavanagh P.R., Rodgers M.M. The arch index: a useful measure from footprints. J. Biomech. 1987; 20(5): 547-51.
  15. Twomey D., McIntosh A.S., Simon J., Lowe K., Wolf S.I. Kinematic differences between normal and low arched feet in children using the Heidelberg foot measurement method. Gait Posture. 2010; 32(1): 1-5.
  16. Hoesl M., Böhm H., Multerer C., Doederlein L. Does excessive flatfoot deformity affect function? A comparison between symptomatic and asymptomatic flatfeet using the Oxford Foot Model. Gait Posture. 2014; 39(1): 23-8.
  17. Blitz N.M., Stabile R.J., Giorgini R.J., DiDomenico L.A. Flexible Pediatric and Adolescent Pes Planovalgus: Conservative and Surgical Treatment Options. Clin. Podiatr. Med. Surg. 2010; 27(1): 59-77.
  18. Scherer P.R. Treatment of Pediatric Flexible Flatfoot with Functional Orthoses. Podiatry Management (2008). Avaliable at:
  19. Whitford D., Esterman A. A Randomized controlled trial of two types of in-shoe orthoses in children with flexible excess pronation of the feet. Foot Ankle Int. 2007; 28(6): 715-23.
  20. Valmassy R.L. Torsional and frontal plane conditions of the lower extremity. In: Thomson P., Volpe R., eds. Introduction to Podopediatrics. New York: Churchill Livingstone; 2001.
  21. Jay R.M., Schoenhaus H.D., Seymour C., Gamble S. The dynamic stabilizing innersolesystem (DSIS): the management of hyperpronation in children. J. Foot Ankle Surg. 1995; 34(2): 124-31.
  22. Logue J.D. Advances in orthotics and bracing. Foot Ankle Clin. 2007; 12(2): 215-32.
  23. el-Tayeby H.M. The severe flexible flatfoot: a combined reconstructive procedure with rerouting of the tibialis anterior tendon. J. Foot Ankle Surg. 1999; 38(1): 41-9.
  24. Harris E.J., Vanore J.V., Thomas J.L. Diagnosis and treatment of pediatric flatfoot. J. Foot Ankle Surg. 2004; 43(6): 341-73.
  25. Lamm B.M., Paley D., Herzenberg J.E. Gastrocnemius soleus recession: a simpler, more limited approach. J. Am. Podiatr. Med. Assoc. 2005; 95(1): 18-25.
  26. DiDomenico L.A., Adams H.B., Garchar D. Endoscopic gastrocnemius recession for the treatment of gastrocnemius equinus. J. Am. Podiatr. Med. Assoc. 2005; 95(4): 410-3.
  27. Blitz N.M., Eliot D.J. Anatomical aspects of the gastrocnemius aponeurosis and its insertion: a cadaveric study. J. Foot Ankle Surg. 2007; 46(2): 101-8.
  28. Gourdine-Shaw M.C., Lamm B.M., Herzenberg J.E., Bhave A. Equinus deformity in the pediatric patient (etiology, evaluation, and management). Clin. Podiatr. Med. Surg. 2010; 27(1): 25-42.
  29. Sullivan J.A., Miller W.A. The relationship of the accessory navicular to the development of the flat foot. Clin. Orthop. Relat. Res. 1979; 144: 233-7.
  30. Baravarian B., Zgonis T., Lowery C. Use of the Cobb procedure in the treatment of posterior tibial tendon dysfunction. Clin. Podiatr. Med. Surg. 2002; 19(3): 371-89.
  31. Kopp F.J., Marcus R.E. Clinical outcome of surgical treatment of the symptomatic accessory navicular. Foot Ankle Int. 2004; 25(1): 27-30.
  32. Dragonetti L., Ingraffia C., Stellari F. The Young tenosuspension in the treatment of abnormal pronation of the foot. J. Foot Ankle Surg. 1997; 36(6): 409-13.
  33. Catanzariti A.R., Mendicino R.W., King G.L., Neerings B. Double calcaneal osteotomy: realignment considerations in eight patients. J. Am. Podiatr. Med. Assoc. 2005; 95(1): 53-9.
  34. Dull J.M., DiDomenico L.A. Percutaneous displacement calcaneal osteotomy. J. Foot Ankle Surg. 2004; 43(5): 336-7.
  35. Evans D. Calcaneo-valgus deformity. J. Bone Joint Surg. Br. 1975; 57: 270-8.
  36. Raines R., Brage M. Evans osteotomy in the adult foot: an anatomic study of structures at risk. Foot Ankle Int. 1998; 19: 743-74.
  37. Dinucci K.R., Christensen J.C., Dinucci K.A. Biomechanical consequences of lateral column lengthening of the calcaneus: part I. Long plantar ligament strain. J. Foot Ankle Surg. 2004; 43(1): 10-5.
  38. Tien T.R., Parks B.G., Guyton G.P. Plantar pressures in the forefoot after lateral column lengthening: a cadaver study comparing the Evans osteotomy and calcaneocuboid fusion. Foot Ankle Int. 2005; 26(7): 520-5.



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