Five patients with symptomatic flexible pes planus unresponsive to conservative therapy underwent nine open wedge anterior calcaneal osteotomies and advancement of the posterior tibial tendon. The average follow-up was 6 years, 8 months. Three patients exhibited medial and plantar talonavicular subluxation and naviculocuneiform sag. There were three excellent results, three very good, two good, and one poor. The patient with a poor rating was asymptomatic, had normal foot motion, and was satisfied with the procedure.
BlixM.: Die lang und die spannug des muskels. Scand. Arch. Physiol., 5: 175, 1895.
3.
ButteF. L.: Navicular-cuneiform arthrodesis for flat foot. J. Bone Joint Surg., 19: 496–502, 1937.
4.
EdmonsonA. S.CrenshawA. H.: Campbell's Operative Orthopedics. 6th Ed.St. Louis, C. V. Mosby Co., 1980.
5.
ElftmanH.The transverse tarsal joint and its control. Clin. Orthop., 16: 41, 1960.
6.
HarrisR. I.BeathT.: Hypermobile flat foot with short tendo achillis. J. Bone Joint Surg., 30A: 116–140, 1948.
7.
InmanV. T.: Duvries' Surgery of the Foot. 3rd Ed.St. Louis, CV. Mosby Co., 1973.
8.
KoutsogiannisE.: Treatment of hypermobile flat foot by displacment osteotomy of the calcaneus. J. Bone Joint Surg., 53B: 96–100, 1971.
9.
LapidusP. W.: Fallacies about intoeing and outtoeing. Orth. Rev., X:6 June 1981.
10.
MackR. P.: The Leg and Foot in Running Sports. St. Louis, CV. Mosby Co., 1982.
11.
ManterJ. T.: Movements of the subtalar and transverse tarsal joints. Anat. Rec, 80: 397, 1941.
12.
WrightD. G.DesaiS. M.HendersonW. H.: Action of the subtalar and ankle-joint complex during the stance phase of walking. J. Bone Joint Surg., 45A: 361, 1964.
