Flat Foot Reconstruction in Ogden, UT

A painful flat foot is caused by failure of the posterior tibial tendon. This is a common condition whose natural history is a course of progression to a foot that becomes flatter and more painful over time. The pain may occur in the arch of the foot, around the ankle, or both. Swelling often occurs in conjunction with the pain. The only non-operative treatments available are supportive footwear and orthotic shoe inserts. The pain and swelling may be so severe as to make walking, even on flat ground, difficult or impossible. When non-operative measures fail to sufficiently control symptoms, surgery is indicated. The All American Foot Reconstruction is a combination of 6 procedures which uses a piece of bone from the pelvis to build an arch in the foot. This is combined with a realignment procedure for the heel, an Achilles Tendon Lengthening, and a repair of the Posterior Tibial Tendon. The surgery is performed as an outpatient procedure with general anesthesia and a nerve block. Surgery typically takes about an hour. Patients are placed into a splint at the time of surgery and are instructed not to walk on their foot. 2-3 weeks after surgery, the splint is removed and a boot is applied. The patients may remove the boot once daily for bathing and some gentle motion, however, non-weightbearing continues until 8 weeks post op. At 8 weeks patients transition to walking in an athletic shoe, and Physical Therapy is initiated. It takes about 6 months to be fully recovered. The surgical screws used for this procedure may cause discomfort, and can be removed anytime after 6 months.