Flat Feet (Pes Plano Valgus) Treatment & Surgery in Miami
After bunion surgery, patients wear a special post-operative shoe to prevent pressure on the healing bone. Most people will use crutches, at least until the initial pain has subsided. Bunion surgery can be quite uncomfortable, and may require about 3 months or more to completely heal.
It’s difficult to know exactly how important footwear is in the development of bunions, but we know it is the only variable we can significantly control. Bunions are much less common in countries without Western footwear. Bunions occur in non-Western countries in about 3% of the population. In countries with Western footwear, the prevalence of bunions is over 30%. In countries where Western footwear has been introduced recently, the prevalence of bunions has risen to coincide with rates seen in Western countries.
Flat feet are a common condition. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. The arch develops in childhood, and by adulthood, most people have developed normal arches
Flat feet (also called pes planus or fallen arches) is a postural deformity in which the arch of the foot collapses, with the entire sole of the foot coming into complete or near-complete contact with the ground. In some individuals (an estimated 20–30% of the general population) the arch simply never develops in one foot (unilaterally) or both feet (bilaterally).
There is a relationship between the structure of the arch of the foot and the biomechanics of the lower leg. The arch provides an elastic, springy connection between the forefoot and the hind foot. This association safeguards that a majority of the forces incurred during weight bearing of the foot can be dissipated before the force reaches the long bones of the leg and thigh.
In pes planus, the head of the talus bone is displaced medially and distal from the navicular. As a result, the spring ligament and the tendon of the tibialis posterior muscle are stretched, so much so that the individual with pes planus loses the function of the arch If the MLA is absent or nonfunctional in both the seated and standing positions. This condition can be correctable with well-fitting arch supports.
Flat Foot Surgery :
Surgery for flat feet is separated into three kinds: soft tissue procedures, bone cuts, and bone fusions. Depending on the severity of the flat foot, a person’s age, and whether or not the foot is stiff determines just how the foot can be fixed. In most cases a combination of procedures is performed.
With flexible flat feet, surgery is geared at maintaining the motion of the foot and recreating the arch. Commonly this may involve tendon repairs along the inside of the foot to reinforce the main tendon that lifts the arch. When the bone collapse is significant, bone procedures are included to physically rebuild the arch, and realign the heel. The presence of bunions with flat feet is often contributing to the collapse and in most situations requires correction.
With rigid flat feet, surgery is focused on restoring the shape of the foot through procedures that eliminate motion. In this case, motion does not exist pre-operatively, so realigning the foot is of utmost importance. The exception, are rigid flat feet due to tarsal coalition (fused segment of bone) in the back of the foot where freeing the blockage can restore function.
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