Pics of a 10 year old girl with severe symptomatic flatfeet. She had the Right foot corrected 9 months ago and having the Left done in the next few weeks. A percutaneous Achilles lengthening, subtalar joint implant and navicular-cuneiform (midfoot) fusion performed. Dramatic difference in the pre and post op foot and leg posture.
Series of Pics Status Post Subtalar Implant
Xrays of Child above (pre and postop)
Below is a photograph of a patient before and after flat foot surgical correction with subtalar joint implant.
x-rays show a flatfoot with plantarflexion of the talus and minimal calcaneal pitch (left). The image to the right shows an implants that was placed into the subtalar joint lifting the talus back on top and proper alignment on the calcneus. Note the increase in the heel pitch and the upward position of the talus bone.
Below is a case of and adolescent with a surgically corrected right foot with a combination of the subtalar joint implant and a percutaneous achilles tendon lengthening. One case see that the arch is off of the ground, the foot is not in alignment with the leg and stable. The heel bone when viewed from the back is now perpendicular to the ground.
Below are photographs of before and after surgical correction of flatfoot deformity with a implant of the subtalar joint and release of the gastrocnemius muscle. One can see the difference and improvement in overall alignment in the surgically corrected left foot compared to the right foot. (JT)
Another case of flatfoot correction where x-rays show a flatfoot with plantarflexion of the talus and minimal calcaneal pitch (left). The image to the right shows an implants that was placed into the subtalar joint lifting the talus back on top and proper alignment on the calcneus. Note the increase in the heel pitch and the upward position of the talus bone.
Postop flatfoot reconstruction s/p midfoot fusion, subtalar implant and gastroc recession for adult flatfoot with posterior tibial tendon dysfunction (PTTD). Typically in adults, the instability in the foot from deformity places a lot of excess stress and wear on the posterior tibial tendon that is the primary dynamic supporting structure of the medial arch causing the tendon to fail.
Status post gastroc recession, subtalar implant and naviculocuneiform joint fusion (Below)
Pre and Postop Subtalar implant and gastroc recession (SP)
S/P Subtalar implant and gastroc recession (Below)
Preop of Left foot and post op Right foot status post flatfoot correction with subtalar implant
Pre and Post op pictures status post middle facet coalition resection and subtalar implant (below)
Preop and postop flatfoot correction with subtalar implant and percutaneous Achilles lengthening right foot
(Preop)
Postop ( Right is corrected and Left is not)
Preop of Left foot and post op Right foot status post achilles lengthening and subtalar implant (below)
Pre and Post op pictures status post subtalar implant flatfoot correction
Post Percutaenous Achilles lengthening and subtalar implant for flatfoot correction Right and preop flatfoot correction Left (Below)
Pre and Postop X-ray subtalar joint implant
Postop subtalar implant and midfoot (naviculocuneiform ) fusion
Surgical resection of the coaltion allows removal of restriction of range of motion in the affected joint and elimination of pain associated with the attempted motion. Pictured is the coalition at the point of the metal instrument. Pictured right is the newly created space where that coalition once was located. The last picture is using the FDB muscle belly as an interpositional graft to occupy the deadspace and decrease chance of recurrence.
Pictures of severe flatfoot prior to correction. Do the severity of the flatfoot, the ankle is not straight anymore and has a valgus tilt due to abormal compression of the tibia growth plate. (below)
Severe flatfoot in 18 y/o before and after calcaneal osteotomy, subtalar implant and midfoot (navicular-cuneiform) fusion
Preop, the front of the foot is completely shifted or abducted on the back. The arch is collapsed and the heel has a low pitch
Postop, the foot is aligned and the arch is restored
Pics below are of a flatfoot reconstruction after 3 years. The reconstruction included a gastrocnemius recession, calcaneal osteotomy, subtalar implant and midfoot (navicular-cuneiform) fusion.
Below is a case with a 16 y/o Female with severe flatfoot who required multiple procedures to reconstruct the arch and stablize the foot in including a lengthening of the achilles tendon, subtalar arthroereisis implant, calcaneal sliding osteotomy, and midtarsal joint fusion.
