How Is Surgical FlatFoot Correction Done?

Many surgical flat foot corrections are performed under general or regional anesthesia. In some cases, patients may need more than one technique. Most procedures fit into one of two categories. Procedures are sometimes carried out to correct a specific deformity of the bones of the feet. Other forms of correction surgery are to repair damaged tendons or ligaments of the foot. A podiatrist will ascertain which procedures are most likely to help you.

Will surgical correction of my flatfoot improve the cosmetic appearance of my foot?

Surgical correction of flatfoot is aimed primarily at reducing pain and restoring function. Although surgery likely will improve the cosmetic appearance of the foot, it is not a primary goal of treatment.

What activities will I be able to do following flatfoot surgery?

With proper correction and rehabilitation, many patients return to active lifestyles. Activities such as walking, biking, driving, and even golfing are well tolerated. It is less likely, however, that patients will be able to participate in very strenuous high impact activities requiring running, cutting, or jumping.

What are the Risks and Complications of flatfoot correction/

All surgeries come with possible complications, including the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots.

Complications following flatfoot surgery may include wound breakdown or incomplete healing of the bones (nonunion). These complications often can be prevented with proper wound care and rehabilitation. Occasionally, patients may notice some discomfort due to prominent hardware. Removal of hardware can be done at a later time if this is an issue. The overall complication rates for flatfoot surgery are low.

Recovery

Patients may go home the day of surgery or they may require an overnight hospital stay. The leg will be placed in a splint or cast and should be kept elevated for the first two weeks. At that point, sutures are removed. A new cast or a removable boot is then placed.

It is important that patients do not put any weight on the corrected foot for 6-8 weeks following the operation. In most cases, patients may begin bearing weight after the first 6-8 weeks and progress to full weightbearing by 10-12 weeks. For some patients, weightbearing requires additional time. After 12 weeks, patients usually can transition to wearing a shoe. Inserts and ankle braces often are used. Physical therapy may be recommended. Swelling and discomfort can last for months after surgery, and full recovery can take 1-2 years.