Flatfoot Reconstruction Surgery

Flatfoot is a condition that starts in childhood and causes the foot arch to flatten. In people with flatfoot, the ligaments have tightened, causing the arches to be lower to the ground.

For some, flatfoot causes no issues, but for others, it's a debilitating condition that makes walking painful. Dr Alexander offers flatfoot reconstruction surgery to both adults and adolescents.

What are the symptoms of flatfoot?

Flatfoot can be diagnosed through X-rays showing the depth of the arch bones, but it does not necessarily mean you need reconstruction surgery. Other signs to look out for include:

• Pain on the inner foot and ankle
• Inability to perform certain daily tasks
• Difficulty walking or running
• Swelling of the ankle
• Numbness caused by damaged nerves

When is flatfoot reconstruction surgery necessary?

Not all patients with flatfoot require reconstruction surgery. It's only necessary if the condition is impacting mobility and functioning. However, early diagnosis is essential to avoid future issues, such as loss of flexibility, arthritis and constant pain.

Dr Alexander will assess your condition and discuss your medical history and current health before advising on the best treatment. Foot reconstruction is often only necessary when all other traditional treatments have been exhausted.

What is the procedure for flatfoot reconstruction surgery?

During flatfoot reconstruction, Dr Alexander performs a tendon transfer while you are under general anaesthesia. He first makes small incisions in the bottom of the foot to remove the damaged tendons and then replaces them with new tendons. He may also perform midfoot bone fusion and reinforce the heel bone with metal plates and screws to support the arch correctly.

Dr Alexander will close the incisions with stitches, dress the wound and apply a cast to keep your foot in place. You will be able to go home the same day but will need some assistance.

Recovery after flatfoot reconstruction surgery

Recovery from flatfoot surgery is extensive and will take several months, phases, and steps. The initial recovery phase takes 6-12 weeks, during which Dr Alexander will monitor your progress with X-rays. You will need to remain off your feet and continue prescribed courses of medication.

After the initial phase, you can transition to an ankle boot, allowing for slightly more mobility. Once the wound has healed, you will be given an ankle brace and may require physiotherapy to help achieve full functionality again.