Dear Friends
Please send some detail about this matter.
When treating the Pes Planes (flat feet)
How much medial arch will be place (specific size,length height,width)?
Medial arch have any ratio with foot length ?
The foot have any specific ratio with body length& weight ?
Thanks
Asif Ali
Relplies
thanks fo cooperation
1 Rnjonker
My main focus is not the degree of deformity but rather how much wedging
is
needed to get the A/P-alignment of the foot corrected.I hope my reversed
mindset helps
2 Andrew ..
Personally, I can’t help. This all depends on:
Child or adult?
Severe, moderate, mild pronation?
Tight heel cord or no?
Diabetic?
Patient tolerance?
Generally, the apex of the medial arch should not be modified as far
back as we all were once taught, mostly due to poor patient tolerance.
I stay between the navicualr and Medial Maleolus and I try to wrap the
modification diagonally under calcaneous and across to the lateral arch
posterior to the base of the fifth met head.
Hope this helps
3 Bikeliker
Highly individualized and I’ve seen thousands of feet in all these
years.
If anyone gives you “ratios” well, let’s just say, it will make for
interesting reading
4 Joan Cestaro, CP
The medial arch is defined when the foot is properly cast. It varies
from
individual. The foot should be cast in subtalar neutral position and
the
arch accommodated to that. Any orthotic reference or podiatry book can
explain the subtalar neutral casting methods. Good luck.
5 Richard Ziegeler
…. I make a lot of these and I have always worked on the premise that
some arch
better than no arch. I try to correct the foot when I cast it so my
positive mold is actually a representation of the corrected foot or foot
in
a position as close to anatomical neutral position as I can get it.
I do not know of any papers on this subject but can say that I haven’t
had
any failures yet.
