Abstract
➢ Adult-acquired flatfoot deformity is a complex process attributed mainly to posterior tibial tendon insufficiency.➢ Thorough physical examination and radiographs of the foot and ankle are usually adequate to achieve diagnosis.➢ Nonoperative management is the first line of treatment and has a reported success rate ranging from 67% to 90%.➢ A multitude of surgical options are available, particularly for stage II, with no consensus on the best options.➢ Fusions are associated with poor outcomes; hence, there is a trend toward earlier reconstruction before arthritis ensues.
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