Physician's Resources: Flatfoot Reconstruction


This procedure is classified as flexible or rigid. The flexible form is more commonly seen in pediatric patients while the rigid form is seen in the adult population.

There are several flatfoot procedures. In general, it consists of raising and realigning the foot to the lower leg by means of fusing bones in the foot like a triple arthrodesis, isolated fusion, or by placing an implant in the subtalar joint

The subtalar implant is used for flatfoot reconstruction. The implant elevates the height of the subtalar joint and the medial longitudinal arch. (see diagram for placement).

Subtalar Joint Implant Surgical Option
The Subtalar implant is a small soft-threaded titanium device that is inserted into a small opening called the sinus tarsi. The placement of the implant restores the arch by preventing the displacement of the talus and by preventing the foot from rolling-in (pronating). Tissue grows normally around the implant and helps to hold it in place.


Flatfoot Before (front)

Flatfoot Before (back)

Flatfoot After (front)

Flatfoot After (back)
Case Presentation: Child with flexible flatfoot deformity with symptoms of constant fatigue and cramping of both legs. Inability to participate in extracurricular activities.
Outcome: Proper anatomical alignment of both extremities and reduction of muscle fatigue and weakness.
*Personal result will be discussed with possible candidates per request.