In daily practice, the identification of the mechanical pathogenesis of foot diseases mostly relies on observation, patient history, clinical assessment, medical imaging, and in rare cases on gait analysis. Based on the results of this plethora of tests, orthopaedic surgeons use a variety of treatments with respect to clinical guidelines to restore and maintain proper bony alignment and muscle balance. Despite improvement of clinical and radiographic parameters, a growing body of evidence finds that one-type-surgery-suits-all approach does not ensure a restoration of function. Inter-subject anatomical heterogeneity, the complexity of the foot and the inability to assess the internal foot loading conditions preclude one-type-surgery-suits-all approach.
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