If you’re struggling with persistent pain or issues caused by a flat foot or high arch, calcaneal osteotomy might be the solution you need. This surgical procedure is designed to improve foot alignment and reduce discomfort, often resulting in enhanced mobility and quality of life. Here’s what you need to know about the procedure and recovery process.
What is Calcaneal Osteotomy?
Calcaneal osteotomy is a surgical procedure aimed at addressing painful flat feet or high arches. It involves cutting and repositioning the calcaneus, or heel bone, to correct the alignment and improve the arch profile of the foot. In some cases, this surgery is performed alongside other procedures such as Achilles tendon lengthening to provide a more comprehensive solution.
During the procedure, the surgeon makes an incision on the outer side of the heel. The calcaneus is carefully cut and repositioned, then secured using two screws. These screws typically remain in place and are not noticeable. The surgery takes approximately 30 to 60 minutes.
Why Consider This Surgery?
The main goals of calcaneal osteotomy are:
To reduce pain and discomfort caused by poor foot alignment.
To improve the position and functionality of the foot.
To address the root cause of deformity, preventing further complications.
Benefits and Risks
Advantages:
Improves the arch profile and angulation of the foot.
Addresses the underlying cause of foot deformity.
Specific Risks:
Recurrence or collapse of the foot alignment.
Nerve damage leading to loss of sensation on the outer side of the foot.
Failure of bone healing (non-union).
Your consultant will discuss these risks with you and ensure you have a clear understanding before proceeding.
Who is a Candidate for This Procedure?
This surgery is typically recommended for individuals with:
Painful flat feet that interfere with daily activities.
High arches causing significant discomfort.
Before considering surgery, alternative treatments may be suggested, including:
Painkillers and anti-inflammatory medications.
Calf stretches and night splints.
Custom or bespoke footwear.
Orthotic supports or braces.
What to Expect During Surgery
Calcaneal osteotomy is often performed under local anaesthesia, with the option of sedation or general anaesthesia if required. You’ll remain awake but pain-free during the procedure. If necessary, your consultant will refer you to a surgical team specialising in general anaesthesia.
Although the surgery itself is brief, you’ll spend additional time in the day surgery unit before and after the procedure to rest. You’ll need a responsible adult to accompany you home and assist you for the first 24 hours.
Recovery Timeline
First 2-4 Days:
Pain management will be prioritised with prescribed medications.
Rest is crucial. Keep your foot elevated and avoid weight-bearing on the operated leg.
Use crutches for minimal movement, such as going to the bathroom.
One Week After Surgery:
Attend a follow-up appointment for a check-up and, if necessary, re-dressing or recasting of your foot.
Two Weeks After Surgery:
Sutures will be removed, and a new cast applied.
6-8 Weeks After Surgery:
The cast is removed, and you’ll transition to a removable boot, allowing you to begin walking.
8-10 Weeks After Surgery:
If healing progresses well, you’ll start wearing supportive lace-up shoes or trainers.
Swelling may persist, but light activity can be resumed.
Rehabilitation exercises may be introduced, or you might be referred to a physiotherapist.
You may return to non-manual work and driving, provided you can perform an emergency stop (confirm with your insurance provider).
12-16 Weeks After Surgery:
The foot should feel more functional, with reduced swelling.
Gradual reintroduction of sporting activities may be considered based on recovery.
Six Months After Surgery:
A follow-up review will assess progress. By this point, swelling should be minimal, and the full benefits of surgery should be apparent.
Twelve Months After Surgery:
Full healing is achieved, and improvements stabilise.
Planning for Recovery
Proper preparation and post-operative care are essential for a successful recovery. To ensure a smooth healing process:
Arrange for a support system to assist with daily tasks, especially during the initial non-weight-bearing phase.
Follow all care instructions provided by your surgical team.
Attend scheduled follow-ups to monitor progress.
Calcaneal osteotomy is a proven solution for addressing painful flat feet and high arches. By correcting the alignment and improving foot function, this surgery can significantly enhance your mobility and quality of life. If you’re considering calcaneal osteotomy, consult your healthcare provider to determine if it’s the right option for you.