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.
Progressive collapsing flat foot deformity or pes planus is a condition in which the foot does not have a normal arch when standing. in addition, the foot and ankle will typically assume a pronated position.
What are the Indications for Flatfoot Reconstruction?
The primary objectives of flatfoot reconstruction are reduction of pain and restoration of function. This can greatly benefit your medical. 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.
Some of these conservative treatments may include, but are not limited to over the counter braces, custom braces, orthotics, boot wear and physical therapy.
How is a Flatfoot Reconstruction Performed?
Flatfoot reconstructive surgery may consist of shifting several bones in your foot and tendon transfers. As every patient is unique, the combination of these procedures will be different for any individual patient. Whenever possible, minimally invasive approaches will be utilized to accelerate healing and minimize complications.In certain cases, your physician may indicate a fusion of several bones to decrease the risk of recurrence. This may be based on age, severity of deformity, arthritic changes and patient comorbidities
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.
- Apply ice bags over a towel to the affected area for about 15-20 minutes to reduce postoperative pain and swelling.
- Compression dressings (bandage) are prescribed to support the foot and reduce swelling. Take care not to wrap the bandage too tightly, which could constrict the blood vessels.
- 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 walker may be used to maintain balance or stability while walking. You should begin appropriate exercises to stretch and strengthen the muscles.
- 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.