Can Fallen Arches Be Surgically Repaired? Understanding Flatfoot Reconstruction

Fallen arches, also known as flat feet, can significantly impact a person’s quality of life. For those wondering if surgical intervention is possible, the answer is yes. Flatfoot reconstruction offers hope for individuals suffering from this condition.

What is Flatfoot Reconstruction?

Flatfoot reconstruction is a comprehensive surgical approach that combines multiple procedures to address the underlying causes of fallen arches. This surgery aims to repair damaged ligaments and tendons while correcting bone deformities to restore and support the foot’s natural arch.

When is Surgery Considered?

Surgery is typically considered when conservative treatments fail to provide relief. These non-surgical options may include:

Custom orthotics
Physical therapy
Bracing
Anti-inflammatory medications

If these methods prove ineffective in managing pain and improving function, a foot and ankle specialist may recommend surgical intervention.

Components of Flatfoot Reconstruction

Flatfoot reconstruction may involve several procedures, depending on the severity of the condition:

Tendon repairs: Often focusing on the posterior tibial tendon
Ligament reconstruction: To stabilize the arch
Osteotomies: Cutting and realigning bones to restore proper foot structure
Joint fusions: In cases of severe deformity or arthritis

The Surgical Process

Flatfoot reconstruction is typically performed under general anesthesia. The surgeon may use various techniques, including:

Calcaneal osteotomy: Cutting and repositioning the heel bone
Medial column stabilization: Addressing midfoot instability
Tendon transfers: Using healthy tendons to replace damaged ones

The specific combination of procedures will depend on the patient’s individual needs and the surgeon’s assessment.

Recovery and Rehabilitation

Recovery from flatfoot reconstruction can be lengthy:

Initial 6-8 weeks: Non-weight bearing with cast or boot
3-6 months: Gradual return to normal footwear and activities
Up to 1 year: Full recovery and resolution of swelling

Physical therapy plays a crucial role in regaining strength, flexibility, and proper gait.

Potential Risks and Complications

As with any surgery, flatfoot reconstruction carries some risks:

Infection
Nerve damage
Incomplete correction of the deformity
Nonunion of bone fusion sites

Patients should discuss these risks thoroughly with their surgeon before proceeding.

Long-Term Outcomes

Most patients experience significant improvement in pain and function following flatfoot reconstruction. However, it’s important to note that some limitations may persist, and the foot may not achieve a completely “normal” appearance. The goal is to create a stable, pain-free foot that allows for improved mobility and quality of life.