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Acquired FlatfootAcquired flatfoot or “fallen arches” results from failure of the posterior tibial tendon. This tendon and associated muscle are responsible for maintaining the arch of the foot as the heel comes off the ground. When the tendon fails to function properly the arch can become progressively flatter and the foot turns outward. The “All American” is a procedure developed by Drs. Greg Pomeroy and Arthur Manoli. This procedure revolutionized the surgical treatment of this deformity. Performing his fellowship with Dr. Pomeroy where posterior tibial tendon dysfunction was a primary focus, Dr. Castro developed this as an area of great interest. Dr. Castro has modified this procedure, decreasing the complications and allowing patients to weight bear sooner. He is the only surgeon in the southwest that performs this reconstructive procedure restoring both the alignment and function of the foot.
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