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One stop solution for hip knee and foot & ankle disorders
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Flat foot occurs when the inner arch of the foot
Children with physiological flat foot generally do not
require any treatment. The arch forms as they grow
older ( 4 to 6 years).
Adolescents with certain types of
flat foot due to abnormal cartilage
or bony bar between the small
bones in the feet, may require
surgery to excise the
abnormal bar of tissue.
Adults with painful flat foot generally require surgery.
It is commonly due to damage to a tendon
Treatment depends on the stage of the disease.
Early stages are treated with pain killers and insole.
Simple repair is done for partial tear in the tendon.
Tendon transfer with heel bone displacement is done
for severely damaged tendon.
Which tendon do you use for transfer?
I use a tendon called (FDL) flexor digitorum longus
which moves the toe.
Does it affect my toe movement?
You will loose some power in the toes but that does
not affect your walking.
Why do you cut the heel bone?
The heel bone is cut and moved inwards, so that
the heel is in line with axis of the leg.
What happens after the operation?
Your leg will be in a plaster for the first 2 weeks
You will be on crutches without putting any weight
on the operated leg for 8 to 12 weeks.
You will be given pain killers to control pain.
You will also be given injections to reduce
blood clots in the leg and lungs.
It is important that you keep the leg up elevated
to reduce the swelling.
You will be seen in clinic in 2 weeks time to check the
wound and change the plaster.
You will not be able to drive until you could do an
emergency stop without any pain.
You may need 12 weeks of time off from work
depending on the nature of your job.
What are the risks of operation?
How will you reduce the risk of infection?
You will be given antibiotics at the time of operation.
How will you reduce the risk of blood clots?
You will be given injections to thin the