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Hartog BDD et al. – The most common multiplanar deformity of the midfoot is pes planovalgus. Clinically, the flatfoot is characterized by a depressed or absent medial longitudinal arch accompanied by forefoot abduction and, in some cases, by supination of the forefoot and valgus angulation of the hindfoot. A stepwise surgical approach is recommended for reproducible correction and midfoot fusion in patients with arthritis combined with a multiplanar deformity.

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