Flatfoot, medically known as pes planus, is a condition where the arches of the feet collapse, causing the entire sole to touch the ground. While some individuals have flexible flatfoot (painless and common in children), others develop rigid flatfoot, leading to pain, swelling, and mobility issues. If left untreated, severe cases can result in tendon damage, arthritis, and chronic discomfort, necessitating surgical correction.
Dr. Chetan Oswal, a leading foot and ankle specialist in Pune, specializes in diagnosing and treating complex flatfoot deformities. We will explore who needs flatfoot reconstruction surgery, how it works, and what patients can expect during recovery.
Who Needs Flatfoot Reconstruction Surgery?
Not all flat feet require surgery. Many patients find relief through non-surgical treatments like orthotics, physical therapy, and supportive footwear.
1. Chronic Pain & Discomfort
- Persistent foot or ankle pain that limits daily activities.
- Pain that doesn’t improve with rest, medications, or orthotics.
2. Progressive Foot Deformity
- Worsening arch collapse leading to difficulty walking or standing.
- Abnormal gait (walking pattern) causing knee, hip, or back pain.
3. Posterior Tibial Tendon Dysfunction (PTTD)
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A common cause of adult-acquired flatfoot, where the tendon supporting the arch weakens or tears.
4. Arthritis or Joint Damage
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Advanced flatfoot can lead to joint degeneration, requiring surgical stabilization.
5. Failed Conservative Treatments
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If braces, physiotherapy, and medications don’t provide relief, surgery may be the best option.
Types of Flatfoot Reconstruction Surgery
1. Tendon Repair or Transfer
- For: Patients with damaged posterior tibial tendons.
- Procedure: The surgeon repairs the torn tendon or replaces it with a healthier tendon from another part of the foot.
2. Osteotomy (Bone Cutting & Realignment)
- For: Moderate to severe flatfoot with misaligned bones.
- Procedure: The surgeon makes small cuts in the heel or midfoot bones to reposition them, restoring the arch. Common techniques include:
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Medializing Calcaneal Osteotomy – Shifts the heel bone inward.
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Lateral Column Lengthening – Lengthens the outer foot to correct collapse.
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3. Arthrodesis (Fusion Surgery)
- For: Severe flatfoot with arthritis or rigid deformities.
- Procedure: The surgeon fuses affected joints to stabilize the foot, reducing pain but limiting some movement.
4. Subtalar Arthroereisis (Implant Surgery)
- For: Children or adults with flexible flatfoot.
- Procedure: A small implant is placed in the hindfoot to support the arch.
Recovery After Flatfoot Surgery
Recovery varies based on the procedure, but most patients follow this general timeline:
First 6-8 Weeks (Immobilization Phase)
- Cast or Boot: The foot is kept non-weight-bearing to allow healing.
- Elevation & Ice: Reduces swelling and pain.
Weeks 8-12 (Partial Weight-Bearing)
- Walking Boot: Gradual transition to partial weight-bearing with crutches.
- Physical Therapy: Improves flexibility and strength.
3-6 Months (Full Recovery)
- Most patients resume normal activities.
- Athletes may need 6-12 months for full sports readiness.
If you’re suffering from chronic flatfoot pain, consult Dr. Chetan Oswal, the best Foot & Ankle surgeon in Pune, for expert diagnosis and treatment.