Corrective shoes and inserts as treatment for flexible flatfoot in infants and children

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Abstract
We performedaprospective study to determine whether flexible flatfoot in children can be influenced by treatment. One hundred and twenty-nine children who had been referred by pediatricians, and for whom the radiographic findings met the criteria for flatfoot, were randomly assigned to one of four groups: Group I, controls; Group II, treatment with corrective orthopaedic shoes; Group III, treatment withaHelfet heel-cup; or Group IV, treatment withacustom-molded plastic insert. All of the patients in Groups II, III, and IV hadaminimum of three years of treatment, and ninety-eight patients whose compliance with the protocol was documented completed the study. Analysis of radiographs before treatment and at the most recent follow-up demonstratedasignificant improvement in all groups (p 0.01), including the controls, and no significant difference between the controls and the treated patients (p 0.4). We concluded that wearing corrective shoes or inserts for three years does not influence the course of flexible flatfoot in children.

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