Overcorrected Flatfoot Reconstruction

Abstract

The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of treatment. Patients' symptoms may resemble those seen in the cavovarus foot condition, often secondary to overlengthening of the lateral column or excessive displacement of the calcaneal tuberosity. Osteotomies of the calcaneus, midfoot, and often the first metatarsal may be sufficient to revise the overcorrection. However, hindfoot and/or midfoot arthrodesis may be required in more severe or rigid cases.

Keywords: Cavovarus; Flatfoot; Overcorrection; Posterior tibial tendon dysfunction; Treatment.