Flatfoot Correction

Dr. Desai uses different techniques to correct a flatfoot deformity. In one technique, a tendon is transferred and the transfer is augmented with an Internal Brace from Arthrex.

Dr. Desai uses different techniques to correct a flatfoot deformity. In one technique, the calcaneus (heel bone) is cut and shifted using a minimally invasive technique.

Post Operative Instructions

Cast:

  • You will have a plaster cast on your ankle and foot for 2 weeks following surgery

  • A walking boot will be worn from 2 to 6 weeks

  • At 6 weeks, you will wean off the boot and begin walking in a regular shoe

Wound:

  • The surgical incision has been closed with sutures

  • Do not get the cast or wound wet for the first two weeks. When showering place a bag over the cast and secure with tape to your leg to avoid the cast and wound getting wet

  • Stitches will be removed at your 2 week appointment

  • After the stitches are removed, you may begin to shower after 2-3 days

  • Do not immerse the foot in water (bath, hot tub, pool) for 4 weeks

  • Do not apply any lotions or creams on the wound for 6 weeks

Weight Bearing:

  • You will be non-weight bearing for the first 6 weeks while in a walking boot. You will be given crutches after surgery (or you may bring your own)

  • After 6 weeks you may begin fully walking on the foot

Medications:

  • You will be given a prescription for pain medication and Aspirin (blood thinner)

  • Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol

  • Aspirin should be taken for 14 days (unless you have an allergy to aspirin)

Driving:

  • For right foot surgery you are not permitted to drive until you have completely weaned off the boot

  • For left foot surgery, please contact your insurance company to see if you are permitted to drive

  • Driving is not permitted while on narcotics

Work:

Two weeks off work is recommended for initial recovery

If you are able to get to work safely, and will be seated for the majority of the day, you may return to work a couple days after surgery.  This is assuming you are not taking narcotic pain mediation.

From 2-8 weeks sedentary duties is recommended

By 8 weeks you can gradually return to full duties

If your job is physically demanding, return to full duties is usually possible around 12 weeks post operatively

Follow Up:

  • You will have your first appointment 2 weeks after surgery in the Fracture Clinic

  • Your next appointments will be at 6 weeks, 3 months then 6 months post operatively

Recovery:

  • It is normal to experience pain, numbness, tingling, etc. for the first 2 weeks following surgery

  • Please come to the emergency department if you are suffering from severe pain

  • You will get back to most of your activities by 3-6 months

  • Swelling often remains for 6-12 months

  • You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 9-12 months

Physiotherapy:

  • Two weeks after surgery you will be referred for physiotherapy