Abstract
Background: Flexible flatfoot is a common finding in pediatrics. It is usually amenable to conservative treatment but in less frequent occasions, some cases are not optimally responsive to conservative measures. Calcaneo-stop procedure is minimally invasive and safe resort for this cases after failure of conservative measures.
Objective: Evaluate the results of treatment of pediatric flexible flatfoot by Calcaneo-stop procedure only after ex-haustion of six months of supervised conservative management.
Study Design and Setting: A prospective randomized clinical trial in a tertiary care center.
Patients and Methods: 20 cases of pediatric flexible flatfoot (ten patients) were operated on after failure of six months of conservative treatment. All patients were evaluated pre-operative and post-operative via Kite's angle, Meary's angle and according to American college of Foot and Ankle Society score (ACFAS). A p-value of less than 0.001 was considered statistically significant.
Results: There was statistically significant improvement in Meary's, Kite's angle. While ACFAS score measurement was better than preoperative score in all cases but not statis-tically significant.
Conclusion: Calcaneo-stop is safe, minimally invasive and effective in treatment of pediatric flexible flatfoot also it doesn't burn bridges for other adjuvant procedures later on.