Treatment of pediatric flatfoot: a systematic review-based consensus and guidelines by CPAM-LRC - Takeaways - MDSpire

Treatment of pediatric flatfoot: a systematic review-based consensus and guidelines by CPAM-LRC

  • By

  • Sharula

  • Fei Zhao

  • Tianyi Wu

  • Qinglin Kang

  • Xiang Geng

  • Hui Qin

  • Yan Zhang

  • Jin He

  • Lihua Huang

  • Jia Xu

  • Shengdi Lu

  • May 8, 2026

  • 0 min

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  • 1

    The guideline provides evidence-based recommendations for managing pediatric flexible flatfoot, targeting children and teenagers.

  • 2

    Structured conservative management is the mainstay of care for symptomatic children, with a minimum 6-month trial before considering surgery.

  • 3

    Foot orthoses and rehabilitative exercises are recommended for symptomatic relief, with exercises showing superior normalization rates.

  • 4

    The guideline emphasizes the need for standardized diagnostic definitions and multicenter registry data to improve treatment consistency.

  • 5

    Fifteen recommendation statements were formulated through Delphi consensus polling, with 13 achieving over 75% agreement among experts.

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