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Sep 26

Written by: Larry Huppin, DPM
9/26/2012 3:37 PM

The goal of any orthosis used to treat pediatric flatfoot is to limit excessive force that might lead to pain or deformity. The collapse of the medial longitudinal arch seen in children with pes planus can lead to a number of problems, including:

  • Excessive tension on plantar structures resulting in conditions such as calcaneal apophysitis
  • Excessive compression dorsally, leading to dorsal foot pain in the short term and increased likelihood of midfoot arthritis in the long term.
  • Increased forefoot pressure and associated conditions.
  • Functional hallux limitus leading to increased likelihood of bunion formation or hallux rigidus
In order to limit excessive pronation in the pediatric flatfoot a foot orthosis should incorporate the following features:
  • Deep heel cup
  • Medial flange
  • Minimum cast fill (close arch contour)
  • Medial heel skive
  • Rearfoot post
A custom functional orthosis with the above criteria is usually very effective at controlling pathologic forces found in the pediatric flatfoot. The downside of custom devices, however, is that children have a tendency to grow out of them rather quickly Given this issue, ProLab has developed the first prefabricated orthosis designed specifically for treatment of the pediatric flatfoot. We call it the P3 Kiddythotic. The Kiddythotic incorporates all of the features that we recommend for custom orthoses used to treat pediatric flatfoot at a fraction of the cost.

While the most severe pediatric flatfoot may still require a custom orthosis, a vast majority of these patients will respond favorably to the P3 Kiddythotic.

Read this article by Dr. Paul Scherer for more information on prefabricated orthoses for treatment of pediatric flatfoot. Multiple references can be found in the article. More details on ProLab P3 Kiddythotics can be found here.

ProLab takes a scientific approach with our orthoses by integrating evidence-based medicine into orthotic therapy. Our team of Medical Consultants regularly evaluates the medical literature pertaining to orthotic therapy and biomechanics. ProLab clients are encouraged to contact a medical consultant whenever they have questions about an orthotic prescription.

For an easy way to stay up-to-date on evidence-based orthotic therapy, subscribe to our free E-Journal. Your will receive a monthly email synopsis of the research that impacts your practice.      

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