{"id":2431,"date":"2022-06-03T22:33:36","date_gmt":"2022-06-03T19:33:36","guid":{"rendered":"https:\/\/ladisten.com\/?p=2431"},"modified":"2022-06-22T17:26:22","modified_gmt":"2022-06-22T14:26:22","slug":"ploskostopie-simptomy-prichiny-lechenie-posledstviya","status":"publish","type":"post","link":"https:\/\/ladisten.com\/en\/blog\/ploskostopie-simptomy-prichiny-lechenie-posledstviya\/","title":{"rendered":"Platypodia (flat feet): symptoms, causes, treatment, consequences"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Platypodia (flat feet) is a quite common problem. In children, valgus platypodia is diagnosed during physical examination in 70% of cases. At the same time, it cannot be always treated with help of conservative methods of treatment. At Ladsiten, platypodia in children and adults is corrected using modern osteotomy and the Veklich fixation device.<\/span><\/p>\n<h2><b>What is platypodia<\/b><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2444 size-full\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia.jpg\" alt=\"platypodia\" width=\"768\" height=\"404\" srcset=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia.jpg 768w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-300x158.jpg 300w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Platypodia in children and adults is a type of foot deformity. Its other names are \u201cvalgus foot\u201d and \u201cflat valgus foot\u201d. According to the generally accepted classification of diseases (ICD-10), platypodia is considered a congenital deformity (code Q66), but the genetic factor is not always the leading one. So, while discussing platypodia in children, Dr. Komarovsky points to the possibility of correcting the deformity, even if the parents have it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A normal foot forms two physiological arches \u2013 the longitudinal and transverse ones. These are two peculiar &#8220;arches&#8221; that are present on the feet of any healthy person. In some situations, arches do not form and the foot remains flat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Such a foot does not just change its appearance but affects the musculoskeletal system and joints. Against the background of platypodia, <a href=\"https:\/\/ladisten.com\/en\/pathology\/valgusnaya-deformaciya-nog\/\">valgus deformity of the knees<\/a> develops, the load is not distributed correctly. In the future, this can lead to arthrosis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Often, patients with deformity complain of feeling pain in the foot and the inability to bear physical exertion. They are forced to wear special comfortable shoes instead of the stylish ones.<\/span><\/p>\n<h2><b>Types of platypodia<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Platypodia is considered a physiological state in children up to 7 years of age. During this time, the foot is still forming. But if no progress can be seen in a child of 4-5 years old, this gives indications to take conservative supportive measures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The classification of platypodia is done according to three characteristics, as follows:<\/span><\/p>\n<p><b><i>According to localization:<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Longitudinal.<\/strong> The foot changes its appearance. It lies completely on the floor, making the legs bent inward. The arch is absent or not fully present.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Transverse.<\/strong> In this case, the forefoot is expanded. The load is transferred to all metatarsal bones, instead of the first and fifth ones. Often, with this pathology, <a href=\"https:\/\/ladisten.com\/en\/pathology\/valgusnaya-deformatsiya-bolshogo-paltsa-stopy-hallux-valgus\/\">hallux valgus<\/a> develops \u2013 that is, the well-known &#8220;bunion&#8221; on the thumb.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Combined platypodia in children includes both types of foot deformity.<\/span><\/p>\n<p><b><i>According to the stage of development:<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Stage one.<\/strong> The absence of the arch is weakly expressed. Legs may swell and hurt after exercise.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Stage two.<\/strong> Breaks the posture and causes severe pain, backache and \u201cknocking\u201d not only in the foot, but also in the ankle.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>Stage three.<\/strong> It is difficult for the patient to walk; the leg is completely deformed. Arthrosis and arthritis develop.<\/span><\/li>\n<\/ul>\n<p><b><i>According to the cause:<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Traumatic;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Paralytic;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Acquired;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rickety;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Static.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In terms of external appearance, all types of platypodia are similar. Visually, they differ only in severity.<\/span><\/p>\n<h2><b>Diagnostics<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Platypodia in children: how to determine it without a doctor? Impatient parents often ask themselves about it. At home, you can carry out a simple test. Wet your baby&#8217;s foot, sponge it up a little with a towel. Then place the foot on a flat surface; you can also put it on paper. Now you need to check the footprint: if it has acquired a normal shape with a lateral notch, then there is no pathology. At polyclinics, doctors similarly make a footprint to determine platypodia in children.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The test is not 100% indicative. Do not get your child self-diagnosed. Modern X-ray equipment and a doctor&#8217;s examination make it possible to determine the presence of pathology accurately. An X-ray is done for both feet in a direct and lateral projection with a load. In some cases, an MRI is prescribed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At Ladisten, you can get a detailed consultation from an orthopedist and undergo high-quality instrumental diagnostics.<\/span><\/p>\n<h2><b>Causes of the pathology<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Platypodia in children is a part of natural physiology. In childhood, it is formed due to a \u201ccushion\u201d on the foot. In the process of formation of the musculoskeletal system and bone growth, the cushion disappears and its place is occupied by an arch. True congenital platypodia is rarely determined, but it can be seen on X-rays. At the heart of heredity lies the peculiarity of elasticity of the capsular ligament apparatus.<\/span><\/p>\n<p><strong>The main causes of valgus foot formation include<a href=\"http:\/\/booksshare.net\/index.php?id1=4&amp;category=med&amp;author=isakova-yuf&amp;book=2009\" target=\"_blank\" rel=\"noopener noreferrer\">\u00b9<\/a>:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Platypodia in children whose weight exceeds the norm. Excess weight contributes to improper load distribution;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disorder in the metabolism of calcium and phosphorus, rickets. If the bones soften, they cannot hold the body so that it \u201csags\u201d, literally falling on the feet with all its weight;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Paralytic diseases, such as poliomyelitis, encephalitis;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Neurology. For example, fetal hypoxia at birth;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Long wearing of uncomfortable shoes;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Injuries and fractures of the calcaneus and ankle.<\/span><\/li>\n<\/ul>\n<h2><b>Preventive measures<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">How to prevent platypodia in a child if he or she has poor heredity? In this case, you need to use orthopedic shoes from an early age. These include boots and sandals with a high back and arch support. It is better to make such shoes to order \u2013 then they are selected according to the parameters of a particular child. In no case should your child wear shoes after someone!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A balanced physical activity is needed. It\u2019s good to for the child to take swimming. Additionally, he or she can walk on a special rug with pebbles.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to ensure a proper diet. Calcium, vitamin D and phosphorus are really necessary to form a normal musculoskeletal system and prevent rickets.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Do not forget about vaccination, as poliomyelitis has serious consequences. It is better to get vaccinated.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The main thing to understand is that prevention of platypodia in children is possible only up to a certain age. If you miss the moment, it becomes useless.<\/span><\/p>\n<h2><b>Treatment<\/b><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2446\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-before-and-after-triatment.jpg\" alt=\"Platypodia before and after triatment\" width=\"1200\" height=\"628\" srcset=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-before-and-after-triatment.jpg 1200w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-before-and-after-triatment-300x157.jpg 300w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-before-and-after-triatment-1024x536.jpg 1024w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/06\/platypodia-before-and-after-triatment-768x402.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Physiological platypodia in children does not require treatment up to 4 years. If the foot has not taken a normal shape at this age, platypodia in children is medically supervised and initial conservative measures are taken. This includes wearing of orthopedic insoles, arch support, special gymnastics. The situation can get right by the age of 7 years.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unfortunately, after 7-8 years, platypodia can no longer be treated conservatively. The pathology can progress so that platypodia is developed in a teenager, bringing a lot of trouble. Then surgical treatment is indicated.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is a way to correct the disease using special titanium implants. In practice, it causes complications, the pain may not go away for up to 3 months<a href=\"https:\/\/cyberleninka.ru\/article\/n\/analiz-oslozhneniy-posle-podtarannogo-artroereza-u-patsientov-s-ploskovalgusnoy-deformatsiey-stop\" target=\"_blank\" rel=\"noopener noreferrer\">\u00b2<\/a>, and as a result, the implants are removed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Osteotomy performed using the Ilizarov apparatus<a href=\"https:\/\/cyberleninka.ru\/article\/n\/operativnoe-lechenie-patsientov-s-posttravmaticheskim-ploskostopiem-s-primeneniem-apparata-ilizarova\" target=\"_blank\" rel=\"noopener noreferrer\">\u00b3<\/a> shows a favorable outcome in most cases. At Ladisten, an improved design, that is, the Veklich device, is used for the treatment of platypodia. The rehabilitation period with it is shorter, and the operation itself is minimally invasive and does not take more than 40 minutes.<\/span><\/p>\n<hr \/>\n<p><strong>Sourses<\/strong><\/p>\n<div class=\"jhH5U\">\n<div id=\"tw-ob\" class=\"tw-src-ltr\">\n<div class=\"oSioSc\">\n<div id=\"tw-target\">\n<div id=\"kAz1tf\" class=\"g9WsWb\">\n<div id=\"tw-target-text-container\" class=\"tw-ta-container hide-focus-ring tw-nfl\" tabindex=\"0\">\n<p id=\"tw-target-text\" class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b9 Children&#8217;s surgery. National leadership. Russian Association of Pediatric Surgeons. National project &#8220;Health&#8221;. Ed. Yu.F. Isakova, A.F. Dronova. Moscow 2009 1168 p.<\/span><\/p>\n<p id=\"tw-target-text\" class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b2Tamoev Sargon Konstantinovich, Zagorodni Nikolay Vasilievich, Protsko Victor Gennadevich, Sultanov Elmar Maisovich, Khamokov Z.Kh., and Butaev Butay Gaidarovich. &#8220;Analysis of complications after subtalar arthroeresis in patients with flat valgus deformity of the feet&#8221; Traumatology and Orthopedics of Russia, no. 4, 2011, pp. 37-43.<\/span><\/p>\n<div class=\"jhH5U\">\n<div id=\"tw-ob\" class=\"tw-src-ltr\">\n<div class=\"oSioSc\">\n<div id=\"tw-target\">\n<div id=\"kAz1tf\" class=\"g9WsWb\">\n<div id=\"tw-target-text-container\" class=\"tw-ta-container hide-focus-ring tw-nfl\" tabindex=\"0\">\n<p id=\"tw-target-text\" class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b3 Sergey Zyryanov, Yury Petrovich Soldatov, and Sergey Yakovlevich Zyryanov. &#8220;Surgical treatment of patients with post-traumatic flatfoot using the Ilizarov apparatus&#8221; Orthopedics genius, no. 3, 2011, pp. 38-41.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Platypodia (flat feet) is a quite common problem. In children, valgus platypodia is diagnosed during physical examination in 70% of cases. At the same time, it cannot be always treated with help of conservative methods of treatment. At Ladsiten, platypodia in children and adults is corrected using modern osteotomy and the Veklich fixation device. What [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-2431","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten<\/title>\n<meta name=\"description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f 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