Progressive collapsing foot deformity: how to use new knowledge in developing countries

how to use new knowledge in developing nations


  • Nacime Salomão Barbachan Mansur Medstar Orthopedic Institute, MedStar Union Memorial Hospital, Baltimore, United States
  • Kevin Dibbern Orthopaedic & Rehabilitation Engineering Center, Marquette University, Milwaukee, United States
  • César de César Netto Department of Orthopaedic Surgery, Division of Foot and Ankle Surgery, Duke University Health System, Durham, United States



Progressive collapsing foot deformity; Weight-bearing compute tomography; Flatfoot; Adult acquired flatfoot deformity; 3D; Segmentation; Coverage mapping; Distance mapping.


The 2019 progressive collapsing foot deformity (PCFD) consensus did not only change the disease nomenclature and provided a new classification for the condition formerly known as flatfoot deformity. It was also the pinnacle of a revolution in the field in terms of knowledge and clinical perspectives. The use of advanced imaging, such as weight-bearing computed tomography, three-dimensional algorithms, and magnetic resonance, expanded the way we understand peritalar subluxation and how we can address it. However,
much of these improvements felt short in terms of global reproducibility due to economic restraints. The objective of this review study
is to present PCFD new concepts through the lens and realities of developing countries, considering their potentially limited access to
novel technologies. Level of Evidence V; Expert opinion.




How to Cite

Barbachan Mansur, N. S., Dibbern, K., & César Netto, C. de. (2024). Progressive collapsing foot deformity: how to use new knowledge in developing countries: how to use new knowledge in developing nations. Journal of the Foot & Ankle, 18(1), 12–20.