Abstract
Pes planus is a complex syndrome whose origin can be quite different. Knowledge of the causes is essential for optimal treatment. Clinical and radiographic examinations are the basis for a correct diagnosis. Arthroreisis of the sub-astragalic joint, extrasenotarsum, represents the gold standard for surgical correction of idiopathic pes planus in childhood. The rate of excellent and good results has been 98% in the authors’ experience. We conclude that the arthroreisis of the sub-astragalic joint is an easy, fast and efficacious operation in the management of idiopathic pes planus.