Arch and Ball Problems
Common Foot Injuries
Amniotic Band Syndrome | Bunions | Claw Toe | Clubfoot | Dysplasia | Flat Feet | Gordon Syndrome | Haglunds Deformity | Hallux Limitus | Hallux Rigidus | Hallux Varus | Hammertoes | Jackson Weiss Syndrome | Mallet Toes | Metatarsalgia | Osteomyelitis | Overlapping or Underlapping Toes | Peroneal Tendon Dislocation | Posterior Tibial Tendon Dysfunction | Sesamoiditis | Spurs | Tarsal Coalition
Diseases of the Foot
Orthotics Pain Management
General Information | Achilles Surgery | Ankle Surgery | Arthritis Surgery | Arthroscopy | Bunion Surgery | Cyst Removal | Flatfoot Correction |Heel Surgery | Metatarsal Surgery | Nerve Surgery | Toe Surgery
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Facts About Shoes | Anatomy of a Shoe | Athletic Shoe Guidelines | Children's Shoes | Corrective and Prescription Shoes | What to Look For | Men's Shoes | Women's Shoes | Your Footprint | Wear Patterns
Adult-acquired flatfoot or posterior tibial tendon dysfunction usually leads to a gradual loss of the arch. The posterior tibial muscle is a deep muscle in the back of the calf and has a long tendon that extends from above the ankle and attaches into several sites around the arch of the foot. The muscle acts like a stirrup on the inside of the foot to help support the arch. The posterior tibial muscle stabilizes the arch and creates a rigid platform for walking and running. If the posterior tibial tendon becomes damaged or tears, the arch loses its stability and as a result, collapses, causing a flatfoot.
Surgery is often performed to give the patient a more functional and stable foot. Several procedures may be required to correct a flatfoot deformity, depending on the severity of the problem. These may include:
- Tenosynovectomyâ€”a procedure to clean away (debridement) and remove any of the inflamed tissue around the tendon.
- Osteotomyâ€”removal of a portion of the heel bone (calcaneus) to move the foot structure back into alignment.
- Tendon Transferâ€”in which replacement fibers from another tendon are inserted to help repair damage.
- Lateral Column Lengtheningâ€”A procedure that implants a small piece of bone, usually removed from the hip, outside of the heel bone to create the proper bone alignment and rebuild the arch.
- Arthrodesisâ€”Fusing of one or more bones together to eliminate any joint movement, which stabilizes the foot and prevents any further deterioration or damage.