Flat — (weight plan; synonym flat foot) changing the shape of the foot, which is characterized by the fall of its longitudinal and transverse arches.
The inborn flat-valgus deformity of foot is one of the most serious deformities congenital foot in children and represents approximately 18% of all foot deformities. According to many authors, the incidence of this pathology in recent years is increasing.
At the same time in the diagnosis and treatment of inborn flat-valgus deformity of foot in children, especially the smaller, less pronounced when secondary changes, and the treatment is more effective, there are many differences.
It is generally considered that children before 3-4 years of age, and according to some authors — to 8 years, a physiological flat feet, because of the filling of the arc lengthwise of the fabric. This leads to the fact that the professionals believe that it is possible the diagnosis and start the treatment of inborn flat-valgus deformity only stops after a certain age. This, in turn, leads to the fact that treatment starts too late and does not give a good effect.
The reason for the flat feet are congenital malformations of the structural elements of the foot in the uterus. The treatment of this strain of conservative. From the first days of life leaves a reference to project, carry out the correction of the deformity of the limbs, prescribed physio-therapy, fitness medical, massage and the use of shoes orthopedic.
There is also the concept of flat foot valgus - a violation of the arc, in which the baby's heel deflected towards the outside. This is the most common type of flatfoot, which is a symptom of unequal clean the soles of your shoes. The child can't run or walk, complains of pain in the legs. Night cramps of the calf muscles.
The main causes of flat feet in children are:
If you have changed the motion of a child, he began to move less, to rest more after walking, running, complaining of fatigue and pain in the legs, who needs a child to consult a doctor experienced podiatrist.
If the baby showed signs is a reason to visit a podiatrist.
But sometimes the deformity is gradually and slowly over many years without showing themselves virtually any special complaints. But gradually, the symptoms are growing, and will deteriorate as the power and the ability of the organism to compensate for it at an early age is limited.
There is a quick and accurate diagnosis, and allows to examine children from the moment of the verticalization.
The technique is based on obtaining a print of the outline of the foot on paper, static load. The analysis of the geometry of the traces to evaluate the positional setting of the stop with the detection of anomalies and in relation to the rear, side and inside of the surface of the foot and diseases of the musculoskeletal system as a whole.
Treatment of static flatfoot in children, aimed at the strengthening of muscular-ligamentous apparatus of the foot, includes massage, physiotherapy and exercise therapy.
The youngest children are excluded soft footwear (boots, rubber boots, gym shoes); wearing shoes with hard soles and a small heel, good fixation of the ankle.
When flat feet in older children are shown wearing shoes orthopedic with a special template that lifts the arch is omitted and return the foot to the correct position.
Elimination flatfoot in children contributes spa bath, contrast foot baths, paraffin, ozokerite and mud applications on the area of the foot, magnetic therapy. In the absence of the effect of the correction applied bandage of plaster and splint; in severe cases, the combined flatfoot possible surgery in the bones and the soft tissues of the foot and the leg.
Age optimal for surgical treatment of flatfoot in children of 8-12 years.