What is Flatfoot Reconstruction?

Foot reconstruction is a surgery performed to correct the structures of the foot and restore the natural functionality of the foot that has been lost due to injury or illness. 

Flatfoot or pes planus is a condition in which the foot does not have a normal arch when standing.

What are the Indications for Flatfoot Reconstruction? 

The primary objectives of flatfoot reconstruction are reduction of pain and restoration of function and appearance. The surgery to be performed depends on several factors such as your age, severity, and duration of the symptoms. 

It is often recommended when conservative treatments fail to resolve the symptoms. 

How is a Flatfoot Reconstruction Performed?

Tiibialis posterior (TP) function is restored by transferring an adjacent tendon that bends the little toes (FDL) into the insertion of the TP. Usually this is combined with an osteotomy of the calcaneus where the heel bone is cut and shifted to restore its normal alignment. Further osteotomies of the midfoot may be required to increase the arch of the foot.

This procedure is usually performed under general anaesthesia. 

Likely following surgery, you  will place a cast or a splint to prevent movement of the foot until it regains normal functioning capacity.

What are the Advantages of Arthroscopic Flatfoot Reconstruction?

What is the Post-procedural Care for Flatfoot Reconstruction?

Following are the post-surgical guidelines to be followed after reconstruction: 

  • Make sure you get adequate rest and avoid using the affected foot for a few weeks.
  • Take medications to help alleviate pain and inflammation as prescribed by your doctor.
  • Keep the foot elevated at or above the level of your heart to help minimize swelling and discomfort.
  • A wheelchair may be required for a few days in more severe cases.
  • Start rehabilitation (physical therapy) as recommended by your surgeon to improve range of motion.
  • Crutches or a orthoscooter will likely be needed for 6 weeks.
  • Cover the splint while showering to keep it clean and dry.
  • Return to sports once the foot has regained its normal strength and function with your surgeon's approval.

The outcome of flatfoot reconstruction surgery is greatly improved when you, your surgeon, and the physical therapist work together as a team.