Flatfoot

“For a Flatfoot surgery often offers the chance of long-term pain relief. Screws made from human bone in particular have proven their worth here, as they do not have to be removed during a possible second operation like metal screws and plates.” The expert explains, Dr. Florian Wenzel-Schwarz, which is in Vienna and Neusiedl am See as a podiatrist and orthopedist is active.

“Many patients try to manage the symptoms of flatfoot in the first step without surgery, that is, conservatively. Here, above all, targeted physiotherapy plays an important role. Furthermore, orthopedic insoles or orthopedic shoes can help. However, if there is no pain relief or if it is only short-lived and the foot malposition is too advanced, in most cases only surgery will help to relieve the pain in the long term,” the expert continues. Many experts therefore advise flatfoot surgery for advanced flatfoot symptoms, as this can relieve the symptoms, in most cases, in the long term.

Are you looking for a flatfoot expert who can provide you with Shark Screw®, saving you from a possible second metal removal surgery? Feel free to ask. An experienced Shark Screw® expert in your area will be quickly recommended.

Flatfoot is a foot deformity that can be either congenital or acquired. The foot is said to be flat-footed if the entire sole of the foot lies flat on the ground. The reason for this is the lack of natural arching of the foot and the consequently sinking, inner foot edge. In more extreme cases, the Achilles tendon may also be shortened or the tibialis posterior/ FDL tendon may be non-functional / torn. Special forms of flatfoot include buckling flatfoot, or dropfoot. If you want to clarify whether you have a flatfoot, we always advise you to talk to a specialist such as Dr. Florian Wenzel-Schwarz, orthopedist and foot orthopedist from Vienna.

Learn everything about flat feet in this expert talk with Dr. Florian Wenzel-Schwarz. To watch more videos from the playlist, click here.

Click here for the complete flatfoot playlist on YouTube!

“The most appropriate therapy depends on the extent of the deformity. Basically, however, there are two ways to treat a flatfoot: The conservative flatfoot therapies and the surgery of the flatfoot. Mild deformities can be treated well with conservative therapies. These include special orthopedic shoe inserts or custom orthopedic shoes that restore the shape of the foot. Targeted physiotherapy and specific gymnastic exercises are also essential. In case of involvement or inflammation of the tibialis posterior tendon, anti-inflammatory drugs and plaster immobilization can be resorted to. Depending on the stage of the flatfoot or the discomfort it causes, it makes sense to treat it with surgery in advanced stages.” Says Dr. Florian Wenzel-Schwarz, who relies on Shark Screw® for the treatment of his patients.

Testimonials about flatfoot surgery are often hard to find on the internet. To get real testimonials, it often helps to exchange with other sufferers in a forum. In such a flatfoot forum, for example, affected people talk about their experiences and how they managed to get their flatfoot problems under control. Why young athlete Roman Peherstorfer decided to have surgery for his flat foot, he tells in this video.

Does surgery really help with flatfeet? Or are conservative treatments more appropriate. Roman Peherstorfer talks about his experience with flatfoot surgery.

“Especially in patients with a very pronounced flatfoot, in whom no success can or could be achieved with conservative therapy attempts, I recommend surgery. If the cause of the flatfoot is an underlying disease, e.g. of neurological or rheumatic origin, this must also be clarified and treated. Instability of the foot and osteoarthritis or damage to the tibialis posterior tendon are also common triggers for pain and increasing deformity. Often, pain triggered by this can only be alleviated by flatfoot surgery and symptoms of flatfoot can be permanently eliminated.” Thus the foot expert with ordinations in Vienna and in Neusiedl am See.

Calcaneus osteotomy / calcaneal osteotomy
In the calcaneus osteotomy, the calcaneus is osteotomized i.e. cut and moved inwards or outwards by about 1cm. The displacement of the calcaneus is fixed by screws. Calcaneus osteotomy is sometimes the most commonly practiced surgical technique for the correction of flexible flatfoot deformity without advanced osteoarthritis. Screws from bone (bone screws) no longer need to be removed. On the other hand, the use of metal screws and plates may result in metal removal, as the surrounding tissue (Achilles tendon, skin, etc.) may be irritated by the foreign material.

Tibialis posterior tendon surgery
Transplantation of a healthy tendon in the case of a severely degenerated tendon or removal of the inflamed connective tissue around the tendon while preserving function.

Joint stiffening
under correction of the hindfoot, this usually involves the lower ankle joint and is stiffened with screws.

Calcaneus stop screws – Arthrorise / (for children)
In this procedure, a small skin incision about 0.5 to 1cm long is made directly on the outside in the area of the outer ankle on the foot. A screw is then inserted into the calcaneus at this point. The inserted screw is thus intended to prevent the foot from bending inwards. Growth causes the foot skeleton to still be able to adapt accordingly. Disadvantage of this surgical technique: In the vast majority of cases, the screw is removed again after about 3 years, at the latest when growth is complete. Advantage: Fast and in experienced hands simple operation with low risks.

Evans osteotomy
In this case, the bone (the calcaneus) at the outer edge of the foot is lengthened (with or without arthrodesis of the joint between the calcaneus and the cuboid bone). An osteotomy is performed between the anterior middle facet of the joint.

Cotton osteotomy
The 1st beam is lowered, which raises the arch of the foot.

Yes it can. Many surgeons rely on Shark Screw® for flat foot surgery. The advantage of Shark Screw® is that it is integrated into the natural bone remodeling process. Shark Screw® is colonized by the body’s own cells after implantation. This is made possible by the so-called Havers channels, which are located inside the screw. Bone cells and endogenous vessels can therefore settle in the structure of these channels. This process allows new bone structures to develop, which thus adapt to the requirements of the respective foot and eventually become the body’s own bone. This saves patients who are operated on with a Shark Screw® a second operation, which often has to be performed with conventional metal screws in order to remove them again. However, unless they are removed by a second operation, metals remain in the bone as foreign bodies without function. However, if this second operation is cancelled due to the Shark Screw®, this means an enormous alleviation of the associated risks for the patient and, of course, a shortened period of sick leave.

The info video for the screw made from human bone, the Shark Screw®.