الفهرس 
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Abstract
BACK GROUND :
Flexible flat foot refers to collapse of the medial longitudinal arch on the weight-bearing state while in the non weight-bearing position the foot appears relatively normal. The deformity has three components heel valgus and forefoot abduction in addition to collapse of the medial arch.
OBJECTIVES :
The aim of this work was to evaluate the effectiveness of a soft tissue reconstructive procedure in correction of all the components of the deformity of flexible flat foot in one sitting.
METHODS :
The study included 18 patients in who 30 feet were operated upon to correct symptomatic severe flexible flat foot. All cases were assessed clinically, radiologically and pedographically preoperatively and every 2 month after plaster removal for at least 8 months. Follow up period ranged from 8-48 months. A modified point scoring system was applied for assessment of the final result.
RESULTS :
The result was satisfactory in 90% of studied feet and unsatisfactory in 10% of them. The symptoms of pain and activity reduction, overall functions and appearance of the studied feet were all improved significantly at the final follow up. All radiological angles and footprints had statistically significant improvements. Complications were minimal and controllable. Recurrence occurred in one foot only.
CONCLUSIONS :
The proposed technique proved to be a good contribution to the surgical correction of severe flexible flat foot as it is easy, corrects all the components of the deformity in one sitting whatever the severity of the deformity. It does not entail arthrodesis. It can be done safely in children and adolescents. However, a longer period of follow up is recommended to substantiate the effectiveness of this technique.