RESUMEN
INTRODUCTION: Unilateral secondary flat-foot in children is unusual, and in the absence of a major trauma history should raise suspicion of a neuromuscular etiology. Flatfoot from tibialis posterior tendon (TPT) rupture in children is very rare. CASE REPORT: A 10-year-old girl presented with unilateral flatfoot and unusual shoe wear of few years duration. A TPT rupture was diagnosed. After observing a 3-4 mm superficial scar behind medial malleolus, and after a lot of questioning, her mother remembered an abrasion she had sustained 6 years ago playing in a park.She was successfully treated by flexor hallucis longus (FHL) tendon transfer and obtained and maintained a nice longitudinal arch. CONCLUSION: TPT rupture in children may happen by a minor laceration or trauma and be only recognized after developing flatfoot. FHL tendon transfer can restore the arch even in late cases.
RESUMEN
Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education.