Corrective shoes and inserts as treatment for flexible flatfoot in infants and children
- Authors: Wenger D.R.1, Mauldin D.2, Speck G.2, Morgan D.2, Lieber R.L.1
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Affiliations:
- Children’s Hospital
- Texas Scottish Rite Hospital
- Issue: Vol 11, No 2 (2023)
- Pages: 253-264
- Section: Historical Article
- URL: https://journal-vniispk.ru/turner/article/view/264681
- DOI: https://doi.org/10.17816/PTORS321250
- ID: 264681
Cite item
Abstract
We performed a prospective study to determine whether flexible flatfoot in children can be influenced by treatment. One hundred and twenty-nine children who had been referred by pediatricians, and for whom the radiographic findings met the criteria for flatfoot, were randomly assigned to one of four groups: Group I, controls; Group II, treatment with corrective orthopaedic shoes; Group III, treatment with a Helfet heel-cup; or Group IV, treatment with a custom-molded plastic insert. All of the patients in Groups II, III, and IV had a minimum of three years of treatment, and ninety-eight patients whose compliance with the protocol was documented completed the study. Analysis of radiographs before treatment and at the most recent follow-up demonstrated a significant improvement in all groups (p < 0.01), including the controls, and no significant difference between the controls and the treated patients (p > 0.4).
We concluded that wearing corrective shoes or inserts for three years does not influence the course of flexible flatfoot in children.
Taken from The Journal of Bone & Joint Surgery. 71(6):800-810, Jul 1989 with the approval of publisher and Dennis R. Wenger
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##article.viewOnOriginalSite##About the authors
Dennis R. Wenger
Children’s Hospital
Email: wenger.dr@gmail.com
ORCID iD: 0000-0002-1503-9851
MD, orthopedic surgeon
United States, San Diego, CaliforniaDonald Mauldin
Texas Scottish Rite Hospital
Email: wenger.dr@gmail.com
MD, orthopedic surgeon
United States, Dallas, TexasGail Speck
Texas Scottish Rite Hospital
Email: wenger.dr@gmail.com
MD, orthopedic surgeon
United States, Dallas, TexasDean Morgan
Texas Scottish Rite Hospital
Author for correspondence.
Email: wenger.dr@gmail.com
MD, orthopedic surgeon
United States, Dallas, TexasRichard L. Lieber
Children’s Hospital
Email: rlieber@sralab.org
ORCID iD: 0000-0002-7203-4520
Scopus Author ID: 7004711931
PhD, Professor of Physical Medicine and Rehabilitation and Neuroscience
United States, San Diego, CaliforniaReferences
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