Description
In this presentation, Julie Kohls discusses the implications of pes planus (flat feet) in adults, specifically focusing on issues related to the posterior tibial tendon and spring ligament. She examines the progression from flexible pes planus to various stages of foot deformities, often linked with an excessive accessory navicular. Patients typically present with pain in the medial arch, demonstrating symptoms ranging from inflammation to arthritis. Kohls emphasizes the importance of recognizing how tibialis posterior tendon dysfunction contributes to the locking mechanism of the hindfoot, leading to an inefficient push-off during gait.
She categorizes the stages of pes planus, highlighting how conservative treatment focused on stretching the gastrocnemius can effectively manage most cases. As the condition progresses, the treatment plan may necessitate surgical interventions, including tendon releases and osteotomies, particularly for more fixed deformities. Kohls notes that collaboration with orthopedic colleagues (such as those performing ankle and knee replacements) is crucial in providing comprehensive care for patients with complex foot deformities.