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Therapeutic update of pediatric flatfoot: a systematic review with meta-analysis

Bianca Gabriella de Oliveira
Salvador, BA, Brasil
Gihad Reda Khalil
Médico residente em Ortopedia e Traumatologia do Hospital Municipal Padre Germano Lauck, Foz do Iguaçu, PR
Hussien Ali Mustapha
Médico residente em Ortopedia e Traumatologia da Fundação Municipal de Foz do Iguaçu, Foz do Iguaçu, PR
André Luís Matos Caetano
Médico residente em Ortopedia e Traumatologia do Hospital Municipal Padre Germano Lauck, Foz do Iguaçu, PR
Vanderson Reis de Sousa Brito
Médico pelo Centro universitário Tiradentes, Maceió, AL
Marcella Rodrigues Costa Simões
Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
tajmspr 2025
VOL. 7 / NO. 03 MARCH
VOLUME 7
ISSUE 03
YEAR 2025
PAGES 13-20

Abstract

Objectives: The aim of this systematic review is to evaluate the effectiveness of the use of orthoses in the treatment of pediatric flatfoot.

Methodology: A systematic review was carried out in the online databases Cochrane Library, EMBASE, CINAHL, Medline and PubMed, using the following terms: flatfoot AND pediatric AND Orthotic

Devices. There were no limitations on gender, date or language. All results up to

February 1, 2024 were included.

Results: 213 patients under the age of 18 were included in this study. The use of medial arch support insoles proved to be effective in the treatment of flat feet in children, with an improvement in ankle internal rotation angles and knee internal and external rotation.

Conclusion: The use of orthoses has shown good results and is a reproducible and reliable approach, especially in pre- school patients who have been using them for more than 12 months, with improvements in gait, alignment and coordination of the lower limbs.

Keywords

Flatfoot Pediatrics Orthopedic procedures

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