{"title":"Biomechanical evaluation of orthotic insole design features for pediatric flexible flatfoot using finite element analysis.","authors":"Xinming Wu, Xinhui Zhang, Ruijie Wu, Xinxin Feng, Xinyu Fu, Zihan Song, Hang Xu","doi":"10.1080/10255842.2026.2667300","DOIUrl":null,"url":null,"abstract":"<p><p>This study proposes a finite element (FE) framework to quantitatively evaluate customized insole designs for pediatric flexible flatfoot. Validated subject-specific FE models from nine pediatric cases were analyzed under static weight-bearing to assess the effects of arch support height, arch support area, and medial heel wedge height on plantar loading. Results revealed that arch support height and medial heel wedge height dominantly influence load transfer, with arch height facilitating midfoot loading and the heel wedge correcting hindfoot mechanics, whereas arch support area has limited impact. This quantitative approach demonstrates the potential of FE analysis to guide patient-specific orthotic prescriptions.</p>","PeriodicalId":50640,"journal":{"name":"Computer Methods in Biomechanics and Biomedical Engineering","volume":" ","pages":"1-11"},"PeriodicalIF":1.6000,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Computer Methods in Biomechanics and Biomedical Engineering","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1080/10255842.2026.2667300","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS","Score":null,"Total":0}
引用次数: 0
Abstract
This study proposes a finite element (FE) framework to quantitatively evaluate customized insole designs for pediatric flexible flatfoot. Validated subject-specific FE models from nine pediatric cases were analyzed under static weight-bearing to assess the effects of arch support height, arch support area, and medial heel wedge height on plantar loading. Results revealed that arch support height and medial heel wedge height dominantly influence load transfer, with arch height facilitating midfoot loading and the heel wedge correcting hindfoot mechanics, whereas arch support area has limited impact. This quantitative approach demonstrates the potential of FE analysis to guide patient-specific orthotic prescriptions.
期刊介绍:
The primary aims of Computer Methods in Biomechanics and Biomedical Engineering are to provide a means of communicating the advances being made in the areas of biomechanics and biomedical engineering and to stimulate interest in the continually emerging computer based technologies which are being applied in these multidisciplinary subjects. Computer Methods in Biomechanics and Biomedical Engineering will also provide a focus for the importance of integrating the disciplines of engineering with medical technology and clinical expertise. Such integration will have a major impact on health care in the future.