Hi all
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I need help with a 5 year old patient of mine. The kid on weight bearing and when walking overpronates his feet while at the same time the rearfoot alternates from varus to valgus. When standing still shifts his weight on the outside of the feet and his rearfeet lock to varus (all his shoes wears off on the outside of the heel). Regarding the forefoot pronation which is quite a problem as it causes ovelapping of the toes I am planning of trying to counter it with a 3mm forefoot varus post plus an extended and high lateral wall up to the 5th mth.
On the heel I will keep the walls high to try and give more control on the heel, and the medial wall will be kept high just under the medial malleolus.
The main question is what is your opinion on the whole approach I am planning and would you actually post the heel to correct the varus attitude? Non-weight bearing the STJ comes to neutral.
Thanks guys
Chris Vlachopoulos
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