Evaluation of pain after lateral calcaneal lengthening for symptomatic flexible flat foot

El Naggar, Raouf Ramadan; Sabry Salama, Khaled sabry; Abdel Razek Youssef, Amin Abdel Razek; EL Greatly, Mohammed El Tabee; Sabry Fayed, Mohamed Abdel Aziz

doi:10.21608/muj.2025.409673.1244

	Evaluation of pain after lateral calcaneal lengthening for symptomatic flexible flat foot
Medicine Updates
Articles in Press, Accepted Manuscript, Available Online from 03 August 2025 PDF (523.09 K)
Document Type: Research project
DOI: 10.21608/muj.2025.409673.1244
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Authors
Raouf Ramadan El Naggar ¹; Khaled sabry Sabry Salama¹; Amin Abdel Razek Abdel Razek Youssef²; Mohammed El Tabee EL Greatly¹; Mohamed Abdel Aziz Sabry Fayed¹
¹Orthopedic department, faculty of medicine, Port Said University, port Said, Egypt
²Orthopedic department, Faculty of Medicine. Alexandria University
Abstract
Abstract Background: Whether asymptomatic or symptomatic, flexible flatfoot (FFF) is defined by a normal arch while not bearing weight and a flattening of the arch when stanced. Even while flatfoot seldom results in disability, some kids have diminished lower limb function and experience lower limb pain. Aim: to assess the outcomes of osteotomy for lateral calcaneal lengthening with tibialis posterior advancement in treatment of symptomatic flexible flatfoot deformity. Patients and methods: This was a clinical study that involved patients visit pediatric orthopaedic unit in El Nasr specialized hospital in Port Said. The study was conducted on 20 patients. Pre- and post-operative pain and ankle-hindfoot scores from the American Orthopaedic Foot & Ankle Society (AOFAS) were compared. Results: Preoperative mean AOFAS score was 55.8 ± 6.3; postoperative mean score was 91.1 ± 3.2 (p < 0.001). 60% of patients reported total pain alleviation at the final follow-up. while 40 % experienced only occasional discomfort Conclusion: Clinically, the majority of patients reported complete relief or significant reduction in pain. These findings support the efficacy of this combined surgical approach as a reliable and efficient method of treating pediatric flexible flatfoot symptoms unresponsive to conservative management.
Keywords
Flexible flat foot; Lateral calcaneal lengthening; Pain; AOFAS Scores


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