Master, Doctor, Second Degree Specialist Nguyen Trong Quynh from the Department of Orthopedics, Tam Anh General Hospital Hanoi, diagnosed Tu with flat feet. Tu exhibited an abnormal gait, splayed feet, and a crooked sitting posture. When standing, he had almost no arch in either foot, with his entire sole touching the ground, and his heels were misaligned outwards. X-ray images confirmed that the talus and metatarsal bones were nearly in a straight line.

Despite experiencing no pain, the deformity impacted his movement and aesthetics. Doctors recommended surgery, which was scheduled during his summer break to allow for recovery.

Tu's foot on X-ray. Photo: Tam Anh General Hospital

Doctor Quynh and his surgical team used a C-arm X-ray system for continuous intraoperative imaging to precisely position orthopedic screws in each foot. This procedure correctly aligned the boy's heels, providing greater stability under weight. The minimally invasive procedure reshaped the foot arch, corrected his gait, and enhanced his ability to participate in sports.

Following the surgery, Tu experienced minimal pain, remained alert, and ate well, leading to his discharge after three days. He used crutches for the first week, then transitioned to walking unaided. A follow-up examination three weeks later showed an improvement in his gait and the restoration of his foot arches.

Doctor Quynh (left) and his team operating on Tu. Photo: Tam Anh General Hospital

Flat feet is a condition where the sole of the foot is completely flat, lacking the natural arch. This is most noticeable when standing, as the entire sole touches the ground. In children under five years old, flat feet can be physiological, due to bone, tendon, and ligament structure. This condition often resolves naturally as their feet develop.

However, if flat feet persist after five years of age, it may indicate a pathological condition. Such cases require examination and screening at a specialized hospital to classify the type, assess the severity, and ensure timely treatment. This prevents complications that could affect the child's daily activities, movement, and self-confidence.

Parents should seek early medical evaluation if they observe suspicious signs, such as their child lacking a foot arch when standing, walking with splayed feet, toe-walking, bouncing, or uneven wear on shoe soles. If surgery is recommended, parents and children should arrange a suitable time for the procedure.

Tu watching TV while medical staff examine his feet before surgery. Photo: Tam Anh General Hospital

Flat feet surgery is a type of scheduled surgery. These operations are planned by doctors but can be postponed to optimize patient health, allow the medical team to prepare, or wait for a time suitable for the patient's circumstances. Despite being scheduled, this surgery remains a necessary medical indication for definitively treating the condition.

Thanh Long

*Patient's name changed