A cavus or high-arched foot may have many foot shapes. This may range from an arch that is slightly high to a severe deformity that causes a patient to walk on the outside of the foot. Surgery is occasionally required to realign the foot.
Cavus Foot Surgery
Fifth Metatarsal Fracture Surgery
The metatarsal bones are the long bones in the middle of the foot. Each metatarsal bone has a base, a shaft, a neck and a head. The fifth metatarsal is the last bone at the outside of the foot, and most breaks of the fifth metatarsal occur at the base. The majority of fifth metatarsal fractures are treated without surgery. However, certain situations may require surgical treatment. Surgery can be performed to help the bone heal in a correct position and return the patient to full function. Surgery may reduce the time needed for immobilization and improve the chance of healing compared to nonsurgical treatment.
Flatfoot Surgical Correction
Adult flatfoot is a condition that causes flattening of the arch of the foot. The goal of surgical correction is to improve alignment of the foot. This allows for more normal pressures during standing and walking. A combination of procedures is performed to repair the ligaments and tendons that support the arch. Bone cuts are often made to help restore the arch. Proper correction of flatfoot deformity can often help to improve pain and walking ability.
Flexor Digitorum Longus (FDL) Tendon Transfer to Posterior Tibial Tendon
The goals of the procedure are to relieve pain and to help restore the arch in patients who have acquired painful fallen arches. A fallen arch occurs when the foot loses its support and flattens out. Generally this occurs due to weakening of tendons and ligaments in the foot.
Foot Drop Treatment (Tendon Transfer)
Foot drop occurs when the muscles and tendons that pull the foot up are no longer working. This is most commonly the result of a nerve injury, stroke, or nerve disease (neuropathy). If a person is unable to pull their foot up when they walk, the foot or toes can drag on the ground making walking difficult. Most of the time, a brace can help manage the position of the foot when walking.
Foot Fracture Surgery
There are 26 bones in the foot, all of which can be fractured. There are different types of fractures. Sometimes a bone breaks but stays in place (non-displaced). Sometimes a bone breaks into two pieces that move apart from one another (displaced). Other types of fractures include a bone that is broken in multiple places (comminuted) and a bone that breaks through the skin after fracturing (open fracture).
Lapidus for Hallux Valgus
Hallux valgus is the medical term for a bunion. The first tarsal-metatarsal (TMT) joint is an important joint at the inner part of the middle of the foot. The two bones that meet to form this joint are the first metatarsal and medial cuneiform bones. When this joint has too much looseness or movement, the condition is known as hypermobility or instability. When this joint becomes hypermobile, the first metatarsal moves too much in one direction and the first toe compensates by moving too much in the other direction. When this happens, a bunion develops.
Lesser Metatarsal Shortening Osteotomy
The goal of a metatarsal shortening osteotomy is to shorten the lesser metatarsal. This can accomplish two things. The first is that it lets the surgeon place a toe dislocated at the big toe joint back into position. The second is that shortening the metatarsal will lessen the pressure under it.
The Lisfranc is a ligament of the foot that runs between two bones called the medial cuneiform and the second metatarsal. The name comes from French surgeon Jacques Lisfranc de St. Martin (1790-1847), who was the first physician to describe injuries to this ligament.
Midfoot fusion is a procedure in which the separate bones that make up the arch of the foot are fused into a single mass of bone. Fusion is also referred to as arthrodesis. Fusion eliminates the normal motion that occurs between two bones. Midfoot fusion can involve all of the midfoot joints. More commonly just one or a few of the joints are fused. The joints of the midfoot do not bend and move like your knee or elbow. They are designed to be relatively stiff to give your foot strength and support your body. Midfoot fusion does not generally produce much noticeable loss of motion because there is fairly little motion to begin with.