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The adult flat foot

| What is it? | Is this condition always a bad thing? | How can I tell if my foot corrects fully? (What does it mean?) | When might there be a problem? | Are there any other variants in shape? | What makes the arch? | What can cause this condition and how? | What symptoms might I get? | What treatments are available for a painful flat foot? | What happens if I leave my condition untreated? | Tibialis posterior reconstruction | Why can't the tendon simply be repaired? | The operation - operative schematics | Operative stills - a) the calcaneal osteotomy ("heel shift") | Operative stills - b) the tibialis posterior debridement and flexor digitorum transfer | After the operation | Chance of success | The stiff (non correctable) and painful arthritic flat foot | What and why? | Are there any catches? | The operation - operative stills-triple fusion | The operation - pre and post operative appearance | After the operation

 

The operation

Operative stills-Triple fusion

the approach to the subtalar jointthe approach to the subtalar joint-dissecting free and avoiding the sural nervethe approach tto the subtalar joint-exposing the extensor digitorum brevis which over lies the joint.
The approach to the subtalar jointThe approach to the subtalar joint-dissecting free and avoiding the sural nerveThe approach tto the subtalar joint-exposing the extensor digitorum brevis which over lies the joint.
the subtalar (1) and calcaneo-cuboid(2) joints exposed by reflection of the extensor musclethe subtalar joint opened (1-peroneal tendons, 2-talus, 3-posterior facet subtalar joint)the subtalar joint prepared back to healthy, bleeding bone. (1-posterior facet subtalar joint, 2-anterior facet)
The subtalar (1) and calcaneo-cuboid(2) joints exposed by reflection of the extensor muscleThe subtalar joint opened (1-peroneal tendons, 2-talus, 3-posterior facet subtalar joint)
The subtalar joint prepared back to healthy, bleeding bone. (1-posterior facet subtalar joint, 2-anterior facet)
the calcaneocuboid joint exposed and prepared back to healthy bone, 1.dorsal foot incision for talo-navicular jointtalo-navicular joint exposed
The Calcaneocuboid joint exposed and prepared back to healthy bone, 1.Dorsal foot incision for talo-navicular jointTalo-navicular joint exposed
talo-navicular joint prepared back to healthy bone.access to talo-navicular joint.guide wire from talar neck across subtalar joint.
Talo-navicular joint prepared back to healthy bone.Access to talo-navicular joint.Guide wire from talar neck across subtalar joint.
guide wire across subtalar joint prior to drilling and screw insertion.drillinginsertion of screw across subtalar joint, from talar neck.
Guide wire across subtalar joint prior to drilling and screw insertion.DrillingInsertion of screw across subtalar joint, from talar neck.

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