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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e809-e814
DOI: 10.1055/s-0044-1793823
Artigo de Atualização
Pé e Tornozelo

Acquired Pes Planovalgus: Current Concepts – “From Adult Acquired Pes Planovalgus to Progressive Collapsing Foot Deformity”

Article in several languages: português | English
Hugo Bertani Dressler 
1   Serviço de Ortopedia e Traumatologia, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Kepler Alencar Mendes de Carvalho 
2   Duke University, Durham, NC, Estados Unidos
,
Roberto Zambelli 
3   Subespecialização em Cirurgia do Pé e Tornozelo, Serviço de Ortopedia e Traumatologia, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Nacime Salomão Barbachan Mansur 
4   MedStar Orthopedic Institute, MedStar Union Memorial Hospital, Baltimore, MD, Estados Unidos
,
Cesar de Cesar Netto 
2   Duke University, Durham, NC, Estados Unidos
› Author Affiliations Financial Support RZ reports support for the present manuscript from the International Society of Thrombosis and Haemostasis. CCN reports grants or contracts from Paragon 28, OREF, and the University of Iowa; royalties or licenses from Paragon 28, Medartis, and Extremity Medical; consulting fees from Paragon 28, Zimmer-Biomet, Medartis, and Stryker; payments received from Extremity Medical and Artelon; Payment or honoraria received from Paragon 28, Zimmer-Biomet, Medartis, Stryker, and Artelon; payment for expert testimony from Stryker and Paragon 28; support for attending meetings and/or travel from CurveBeam, Paragon 28, Zimmer-Biomet, and Stryker; leadership or fiduciary role in Foot and Ankle Clinics as editor in chief, AOFAS committee member, AAOS committee member; payments received as Media Board Member FAI, vice-President of the International Weight Bearing CT Society; and stock or stock options with CurveBeam AI and Tayco Brace.
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Abstract

The clinical disorder traditionally known as pes planovalgus due to posterior tibial tendon insufficiency or adult-acquired pes planovalgus has been the subject of several publications over the past two decades. Now, it is understood that the problem does not lie in the posterior tibial tendon per se and may even occur without tendon injury. Studies have brought new concepts and understanding that question the views on this subject, culminating in the replacement of existing classifications with one that is more assertive and discriminative of the potential presentation patterns of the deformity. In addition, a change in the name of the disorder to progressive collapsing foot deformity (PCFD) has been proposed.

Regarding surgical treatment, the concept of an à la carte approach persists, emphasizing axis realignment through osteotomies, arthrodeses, and soft tissue balancing, which consists of tendon transpositions/repairs and reconstruction of ligament structures, especially the deltoid ligament complex and the spring ligament.

Keywords

adult - flatfoot - foot deformities - posterior tibial tendon dysfunction


Publication History

Received: 08 September 2023

Accepted: 06 November 2023

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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