الفهرس 
Introduction
Pediatric FlatfootOnly 14 pages are availabe for public view
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Abstract
Flatfoot is commonly encountered by pediatric orthopedic surgeons and pediatricians. A paucity of literature exists on how to define a flatfoot. The condition is usually asymptomatic, and typically improve over time as young children age. It is critical to differentiate flexible from rigid flatfeet and to assess for associated Achilles contracture with a careful history, physical examination, and initial radiographs. Although there are limited data, nonsurgical management of symptomatic flatfeet, both flexible and rigid, should be exhausted before considering surgical intervention Lateral column lengthening (LCL) has become an accepted procedure for the operative treatment of the flexible flatfoot deformity. The present study sought to assess the outcome of lateral column lengthening in treatment of pediatric flexible flatfoot the study included 24 children. Preoperatively, they were subjected to careful history taking, clinical examination and radiological assessment. Postoperatively, patients were subsequently to clinical and radiological evaluation. Patients included in the present study comprised 12 males (50.0 %) and 12 females (50.0 %). In this study, there was statistically significant improvement of radiographic angular measurements. In our study, surgical interference resulted in significant clinical improvement after 3 months postoperatively and at the end of postoperative follow up as assessed by the AOFAS score. In the present study, the reported complications included persistent pain (8.4 %), delayed union (8.4 %), graft site hematoma (4.2 %), partial graft extrusion (4.2 %) and wound dehiscence (4.2 %). Conclusion : Lateral column lengthening in treatment of pediatric flexible flatfoot has a good clinical and radiological outcome. It is associated with few or minor postoperative complications.