Abstract
Acquired pes planus is a common problem that develops spontaneously over time in the elderly. Initial diagnosis is difficult. Treatment is also difficult, as minor procedures are ineffective and major procedures not necessarily indicated.
This paper presents a new approach in which a simple sinutarsi arthrorexis with flat foot prosthesis is combined with various medial procedures, depending on the pathology of the tibialis posterior. No osteotomies or fusions are required. The paper considers indications for surgery and additional medial procedures.
This approach differs from present techniques. Because the surgery is of a minor nature, it can be performed earlier to retard progression of the disease.
Secretary: Dr H.J.S. Colyn, Editor: Professor M.B.E. Sweet. Correspondence should be addressed to SAOA, Box 47363, Parklands, Johannesburg, 2121, South Africa.
