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Our feet, consisting of 26 bones and fifty-seven joints, are one of our most complex organs. The health of this organ, which transfers the entire body weight to the ground and keeps the human “standing insan, is especially important in children.American Hospital Department of Orthopedics and Traumatology Dr. More professionals named selim yalçın Sık Problems such as heel penetration and flatfoot, which are common in development, are among the most worried families, il he says.
What is the most common problem in children's feet?
One of the duties of pediatric orthopedists in our country is to differentiate common compression problems and leg skewing in healthy children between the ages of one and six years from very rare permanent problems and inform the family. It is very important to identify problems in childhood in terms of early diagnosis. Foot problems in children should be divided into two. The first is a non-problematic change in children called developmental flatfoot. Developmental flatfoot is very common, with 60, 70 percent of children, and in some studies, 80 have mild flatfoot and light ingress. This is due to the placement of baby-type adipose tissue under the skin.
Is it correct to use special shoes and insoles?
As the child walks, this fat tissue disappears from crush to crush and the child's feet return to normal. Some physicians accept these conditions as diseases and treat them. However, none of the shoes made with orthopedic boots, insoles or a number of other special molds for treatment are effective, but rather unscientific. The medical world has researched the use of footwear and insoles in developmental flatfoot from the 1950s to the 70s, and our colleagues in the US, Canada and Europe have elaborated on the issue. The conclusions are that there is no need for insoles, shoes or special treatment. In the second group of diseases called congenital crooked feet, babies are born with their feet facing inward when they are born. This situation is seen in one of a thousand babies. In our country with a population of 70 million, the number of children with crooked legs is also high. This problem, which is seen 5-6 times more frequently in boys than in girls, causes disability and plaster treatment should be started early. As soon as the child is born, the tissues are flexible while the plaster is treated with surgery, if necessary.
Can we say that the problems such as flatfoot, stepping in, O - leg and X - leg pass spontaneously?
Problems such as flatfoot, stepping in, O - leg and X - leg are actually spontaneous in most children. There is no need for special shoes, insoles, foot gymnastics and medication that were once widely used. Research since the 1950s has shown that orthopedic shoes do not have any corrective effects or even cause discomfort, and the use of orthopedic shoes in developed countries is completely abandoned. Parents who have given their child 'orthopedic' shoes or insoles may think that this improvement is due to the shoes, since most children develop spontaneous deformities in the feet and legs around the age of 5-6.
What should be the criterion when choosing shoes?
When choosing shoes for children of all ages, the features to be looked for: flexible, comfortable, lightweight, easy to wear and remove, non-slip and cheap. Shoes sold as 'orthopedic' or custom built have nothing to do with modern orthopedic science. The use of insoles and orthopedic boots does not change anything about the development of the foot, more burden on the family purse, the child's foot is disturbing scientific facts. The right thing is to use soft, light and comfortable shoes.
Who should use orthopedic shoes?
Orthopedic shoes and specially designed walking devices 'orthoses' are intended to facilitate walking in severe problems such as polio, spastic disease (cerebral palsy), congenital spinal cord paralysis (spina bifida), congenital or subsequent, and irreversible foot bone diseases. Our scientific research on this subject in our country has shown that pediatricians, including orthopedic surgeons, think that the flat base should be treated. This false belief is very common especially in families, grandmothers, grandmothers and grandfathers, they definitely want the child to be given orthopedic boots, insoles want to use. These beliefs are unscientific and it is important that families are educated. People who have bought orthopedic shoes for their children know that they are rough, heavy, cumbersome and hard, that children feel comfortable, suffer and suffer.
Flatfoot is divided into flexible flatfoot and rigid flatfoot. Flexible flatfoot is observed at a frequency of up to 20 percent in the community, is generally problem-free, does not cause pain. Professional footballers, world champion Olympic horses, there are people who do heavy work, not even be aware. Military service is no problem. Rigid flatfoot is very rare, caused by bone diseases and is painful. They need to be separated.