What is Subtalar Arthroereisis?

Arthroereisis involves maintaining correction of a flatfoot deformity by insertion, usually, of a synthetic or metal implant into the space between the ankle bone and the heel bone. Often Achilles tendon lengthening is performed at the same time. It is recommended the implant be removed once the child stops growing which involves a second operation.

When is it Indicated?

Arthroereisis is most commonly used to treat painful flexible flat feet in children which have not responded to appropriate non-surgical management.

What is Involved?

General or regional anaesthetic is required. Following surgery the leg will be in a backslab. Crutches will be required for non-weight bearing. You will stay overnight and go home the next day.

How Long is Recovery?

You will see Dr Freihaut 2 weeks after surgery for suture removal and be referred to physiotherapy for a walking cast. This will be removed 6 weeks following surgery and physiotherapy will commence. Maximal improvement may take 12 months.

What are the Risks?

Risks include but are not limited to infection, injury to nerves and blood vessels, Achilles rupture and ongoing pain.