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Hindfoot Surgery

Hindfoot reconstructions can be made with the techniques which were already mentioned. With serious misalingments osteotomies come into question. In such a procedure the hindfoot axis is oriented in the heel bone area.

Especially, after operations, which are conducted to remedy movement restrictions ,the post-op pain therapy is vitally important. Further a optimally movement theraphy must be performed in order to prefent restiffening.

Usually a pain catheter is applied at all our patients, pain can be blocked and a pain free movement can be assured. This catheters retain for one or two weeks post-op until a certain movement is stabilized.
Additional special medical therapies are implemented which shall prevent recurrence of scarring to keep movement at one level.

Osteotomy

When foot misalingments (e.g. Flat Foot, Hollow Foot) or changes because of neuroparalsis are present only osteotomies (can help to reconstruct the normal leg axis.

This osteotomies mainly concern the hindfoot. Within a flat food there is a valgusform in the hindfoot. Because of this the heel bone gets severed and bolted in a straight position.
A hollow foot is caused by a varusform in the hindfoot, due to that the heel bone must be rotated too the outside in order to achieve a normal axis. Furthermore the osteotomy must be proceded at the Metatarsale I (Forefoot) .And sometimes every metatarsale bone must be seperated, so that the longitudinal arch can be flattened.

The post-op treatment includes partial-weight baring (15kg) for six weeks. The patient is able to move the ankle and can be post treatened in normal shoes.