ABSTRACT
Pes Plano Valgus (PPV) is one of the commonest conditions referred to an outpatient foot and ankle clinic. Physical examination is the key to diagnose PPV, but imaging studies are necessary to exclude arthritis as this finding may influence the choice of treatment. Lateral pain due to fibular impingement may be present in severe deformities. Clinical examination should start with a visual gait analysis with the patient barefoot and both knees and ankles visible. It is very important to rule out proximal deformities because PPV may be secondary to compensation of a varus knee. Raikin et al. developed a new classification considering the deformity of the different segments rearfoot, ankle and midfoot. Clinical examination and imaging studies allow the reader to know whether the deformity is flexible (think of osteotomies) or rigid (think of arthrodesis). The goal of surgery for a flexible but painful PPV is deformity correction to achieve a plantigrade foot.
