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Academy Foot and Ankle
1940 East State Hwy 114 Suite 150Southlake, TX 76092817-424-3668
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  • Home
  • Our Doctors
    • Paul T. Marciano, D.P.M.
    • Gregory J. Amelung, D.P.M.
    • Joel Dacus, D.P.M.
    • Philip Parr, DPM, MS
    • Larissa P. Rolim D.P.M., M.S.
    • Masoud Moradi, DPM, FAAPSM
    • Jennifer Sofranec, PT
    • Dr. Dorian Jimenez
  • Our Offices
    • Southlake
    • Keller (Fort Worth)
    • Hurst
    • Flower Mound
  • Conditions We Treat
    • Ankle Surgery
      • Ankle Arthroscopy
      • Total Ankle Replacement
      • Chronic Ankle Instability
      • Achilles Tendon Repair
    • Arthritis
      • Arthritis
      • Arthritis Surgery
      • Hallux Limitus/Hallux Rigidus
      • Spurs
      • Freiberg's Disease
      • Gout
      • Charcot Foot
    • Ball of Foot Pain
      • Capsulitis
      • Metatarsalgia
      • Metatarsal Surgery
      • Neuroma
      • Sesamoiditis
    • Bunions/Bunionettes
      • Bunions
      • Hallux Limitus/Hallux Rigidus
      • Tailor's Bunion (Bunionette)
      • Hallux Varus
      • Bunion Surgery
    • Congenital Deformities
      • Clubfoot
      • Dysplasia
      • Enchondroma
      • Gordon Syndrome
      • In-toeing
      • Jackson-Weiss Syndrome
      • Overlapping or Underlapping Toes
      • Pediatric Flatfoot
    • Corns/Calluses
      • Corns
      • Calluses
      • Heel Callus
    • Crossover Toe
    • Diabetic Foot
      • What Is Diabetes?
      • Diabetic Foot Care
      • Peripheral Arterial Disease
      • Osteomyelitis (Bone Infection)
      • Charcot Foot
      • Neuropathy
      • Gangrene
      • Ulcers
      • Diabetic Complications: Amputation Prevention
      • Diabetic Shoes
    • Equinus
    • Flatfeet
      • Flatfeet
      • Pediatric Flatfoot
      • Adult Flatfoot
      • Flatfoot Correction
      • Posterior Tibial Tendon Dysfunction
      • Tarsal Coalition
    • Fractures/Trauma
      • What Is A Fracture?
      • Toe Fractures
      • Foot Fractures
      • Ankle Fractures
      • Pediatric Fractures
      • Stress Fractures
    • Hammertoes
      • Hammertoes
      • Mallet Toes
      • Claw Toes
      • Hammertoe Surgery
      • Crossover Toe
    • Heel Pain
      • Plantar Fasciitis or Heel Pain
      • Spurs
      • Plantar Fibromas
      • Haglunds Deformity
      • Pediatric Heel Pain (Sever's Disease)
    • Ingrown Toenails
    • Nail Fungus
      • Black Toenails
      • Common Fungal Problems
      • Nail Fungus
    • Nerve Conditions
      • Neuropathy
      • Alcoholic Neuropathy
      • Neuroma
      • Spasms
      • Ulcers/Wounds
      • Neurolysis
      • Charcot Foot
    • Pediatric Conditions
      • Children's Feet
      • Pediatric Flatfoot
      • Pediatric Heel Pain (Sever's Disease)
      • Tarsal Coalition
      • Pediatric Fractures
      • Kohler's Disease
      • Intoeing
      • Athlete's Foot
      • Smelly Feet and Foot Odor
      • Ingrown Toenails
      • Warts
    • Skin Conditions
      • Allergies
      • Athlete's Foot
      • Blisters
      • Neuropathy
      • Common Fungal Problems
      • Calluses
      • Chilblains
      • Corns
      • Cysts-Ganglions
      • Frostbite
      • Nail Fungus
      • Gangrene
      • Heel Fissures
      • Kaposi's Sarcoma
      • Lesions
      • Psoriasis
      • Smelly Feet/Foot Odor
      • Swelling
      • Ulcers/Wounds
      • Warts
    • Strains/Sprains/Sports Medicine
      • Achilles Tendon Repair
      • Ankle Sprain Injuries
      • Athletic Foot Care
      • Chronic Ankle Instability
      • Osteochondritis of the Ankle
      • Peroneal Tendon Dislocation/Dysfunction
      • R.I.C.E. Protocol
      • Shin Splints
      • Spasms
      • Sports Injuries
        • Baseball Injuries
        • Basketball Injuries
        • Cheer and Dance Injuries
        • Field Hockey Injuries
        • Football Injuries
        • Golf Injuries
        • Lacrosse Injuries
        • Rugby Injuries
        • Running and Track Injuries
        • Soccer Injuries
        • Softball Injuries
        • Tennis Injuries
        • Volleyball Injuries
      • Turf Toe
    • Tendonitis
      • Achilles Tendonitis
        • Xanthomas of the Achilles Tendon
      • Extensor Tendonitis
      • Posterior Tibial Tendonitis
    • Toenail Conditions
      • Ingrown Toenails
      • Nail Fungus
      • Subungal Exotosis
    • Vascular Conditions
      • Peripheral Arterial Disease
      • Acrocyanosis
      • Chilblains
      • Erythromelalgia
      • Ischemia
      • Raynaud's Phenomenon
      • Ulcers/Wounds
      • Venous Stasis and Vericose Veins
    • Warts/Soft Tissue Masses
      • Cysts-Ganglions
      • Warts
  • Patient Education
    • Basic Foot Care Guidelines
    • Bunion Prevention
    • Foot Care For Seniors
    • Foot Fitness
      • Foot Self-Exam
      • Self-Assessment Quiz
    • Nutrition For Your Feet
    • Top Foot Problems
    • Pedicures
    • Shoes
      • Anatomy of a Shoe
      • Athletic Shoe Guidelines
      • Childrens Shoes
      • Corrective and Prescription Shoes
      • Shoes: What To Look For
      • Getting a Proper Fit
      • Diabetic Shoes
      • Men's Shoes
      • Women's Shoes
      • Your Footprint
      • Wear Patterns
    • Women's Feet
      • High Heels
      • Stockings
      • Pregnancy
      • Women Over 65
    • Your Feet @ Work
    • Links
  • Patient Portal
  • New Patient Information
  • Our Services
    • Alcohol Injections
    • BOTOX Injections
    • Digital X-Ray
    • Extracorporeal Shock Wave
    • Lasers
    • Physical Therapy
    • PRP Injections
    • Custom Orthotics
    • Stem Cell Therapy
    • Sports Related Injuries
  • Contact Us
  • Patient Survey
  • Procedure Videos
  • Blog

Flatfoot Correction

Various surgical procedures have been described for the treatment of flatfeet.  These surgical procedures may include osteotomy, arthroereisis, arthrodesis, and/or soft tissue procedures.  Procedure selection should be based on clinical and radiographic findings, degree of arthritis, patient age, and activity level.

Surgery is often performed to give the patient a more functional and stable foot. Several procedures may be required to correct a flatfoot deformity, depending on the severity of the problem.

Soft Tissue Procedures:

For the correction of flexible flatfeet (adult or pediatric), with minimal deformity, soft tissue procedures can be considered.  Examples of soft tissue procedures:

  • Tenosynovectomy*
  • Kidner Procedure, or advancement of the posterior tibial tendon
  • Tendon Transfers**
  • Reconstruction of the Spring Ligament
  • Achilles’ Tendon Lengthening or Gastrocnemius Recession

*Tenosynovectomy—a procedure to clean away (debridement) and remove any of the inflamed tissue around the tendon.

**Tendon Transfer—in which repositioning of a tendon, or part of a tendon,  are used to help repair damage and improve joint function.

Osseus, or Bone, Procedures:

Various osteotomies* for correction of flatfeet may be used to preserve joint function and improve structural alignment.  Some bone procedures include:

  • Evans Calcaneal Osteotomy
  • Calcaneal Displacement Osteotomies
  • Cotton Opening Wedge Osteotomy

*Osteotomy—a cut made into a bone to move the foot structure back into alignment.

Arthroereisis:

An arthroeresis implant is inserted into the subtalar joint, (the joint just below the ankle), to limit overpronation.  Arthroeresis implants aren’t typically tolerated in adults due to long-term adaptive changes that occur.

Arthrodesis* or Fusion of a Joint(s):

If the level of deformity or arthritis is severe, arthrodesis procedures may be necessary.  Some fusions that are used include:

  • Medial Column Arthrodesis
  • Talonavicular Joint Arthrodesis
  • Calcaneocuboid Joint Distraction
  • Subtalar Joint Arthrodesis
  • Pantalar Arthrodesis
  • Arthrodesis of Ankle Joint

*Arthrodesis—Fusing of one or more bones together to eliminate any joint movement, which stabilizes the foot and prevents any further deterioration or damage. 

Combinations of the above procedures may be used to correct the Adult or Pediatric Flatfoot.  Your Foot and Ankle Surgeon with determine the cause of the Flatfoot and design a surgical plan using the above procedures, if surgical correction is warranted.

Patient Education

Patient Education Menu
  • What is a Podiatrist?
  • When To Call a Doctor
  • Foot Anatomy
  • Overview of Foot and Ankle Problems
  • Basic Foot Care Guidelines
  • Foot Problems
    • General Statistics
    • Achilles Problems
      • Achilles Tendonitis
      • Peroneal Tendon Dislocation/Dysfunction
      • Xanthomas of the Achilles Tendon
    • Ankle Problems
      • Ankle Sprain
      • Chronic Lateral Ankle Pain
      • Osteochondritis
    • Arch and Ball Problems
      • Capsulitis
      • Flat Feet (over pronation)
      • Metatarsalgia (foot pain in ball)
      • Plantar Fibromas (lumps in the arch of the foot)
      • Sesamoiditis
    • Common Foot Injuries
      • Ankle Sprain Injuries
      • Broken Ankle
      • Fractures
      • Osteochondritis (stiff ankle)
      • Osteochondromas
      • Shin Splints
      • Sports Injuries
    • Deformities
      • Amniotic Band Syndrome
      • Bunions
      • Claw Toe
      • Clubfoot
      • Dysplasia (Epiphysealis Hemimelica)
      • Enchondroma
      • Flat Feet
      • Gordon Syndrome
      • Haglund's Deformity
      • Hallux Limitus (Stiff Big Toe Joint)
      • Hallux Rigidus (Stiff Big Toe)
      • Hallux Varus
      • Hammertoes
      • Jackson-Weiss Syndrome
      • Mallet Toes
      • Metatarsalgia
      • Osteomyelitis (Bone Infections)
      • Overlapping or Underlapping Toes
      • Peroneal Tendon Dislocation/Dysfunction
      • Posterior Tibial Tendon Dysfunction
      • Sesamoiditis
      • Spurs
      • Tarsal Coalition
    • Diabetes and Your Feet
    • Diseases of the Foot
      • Arthritis
      • Cancer
      • Charcot Foot
      • Freiberg's Disease
      • Gout
      • Kaposi's Sarcoma (AIDS related)
      • Kohler's Disease
      • Maffucci's Syndrome
      • Ollier's Disease
      • Raynaud's Disease
      • Sever's Disease
      • Sever's Disease
    • Fungus Problems
      • Common Fungal Problems
      • Athlete's Foot (Tinea Pedis)
      • Fungal Nails
    • Heel Problems
      • Haglund's Deformity
      • Heel Callus
      • Heel Fissures
      • Plantar Fasciitis (heel spur)
    • Nail Problems
      • Black Toenails
      • Ingrown Toenails
      • Nail Fungus
    • Skin Problems
      • Allergies
      • Athlete's Foot (tinea pedis)
      • Blisters
      • Burning Feet
      • Calluses
      • Corns
      • Cysts
      • Frostbite
      • Fungus
      • Gangrene
      • Lesions
      • Psoriasis
      • Smelly Feet and Foot Odor
      • Swelling
      • Ulcers
      • Warts
    • Toe Problems
      • Bunions
      • Claw Toe
      • Digital Deformity
      • Hallux Limitus (stiff big toe joint)
      • Hallux Rigidis (rigid big toe)
      • Hallux Varus
      • Hammertoes
      • Intoeing
      • Overlapping, Underlapping Toes
      • Subungal Exotosis (bone spur under toenail)
      • Turf Toe
    • Vascular/Nerve Problems
      • Acrocyanosis
      • Alcoholic Neuropathy
      • Chilblains (cold feet)
      • Erythromelalgia
      • Ischemic Foot
      • Neuroma
      • Spasms
      • Venous Stasis
  • Medical Care
    • Diagnostic Procedures
      • Computed Tomography
      • MRI
      • Ultrasound
      • X-Rays
    • Orthotics
    • Pain Management
      • General Information and Tips
      • Pain Management for Specific Conditions
    • Surgical Procedures
      • General Information
      • Achilles Surgery
      • Ankle Surgery
      • Arthritis Surgery
      • Arthroscopy
      • Bunion Surgery
      • Cyst Removal
      • Flatfoot Correction
      • Hammertoe Surgery
      • Heel Surgery
      • Metatarsal Surgery
      • Nerve Surgery (Neuroma)
      • Toe Surgery
    • Therapies
      • Athlete's Foot Treatment
      • Cryotherapy
      • Extracorporeal Shock Wave
      • Iontophoresis
      • Physical Therapy
      • Neurolysis
  • Fitness and Your Feet
    • General Information About Fitness and Your Feet
    • Aerobics
    • Fitness And Your Feet
    • Sports and Your Feet
      • Baseball
      • Basketball
      • Cycling
      • Golf
      • Jogging and Running
      • Tennis
    • Stretching
    • Walking and Your Feet
    • Work Footwear
  • Foot Care
    • Basic Foot Care Guidelines
    • Athletic Foot Care
    • Blisters
    • Children's Feet
    • Corns and Calluses
    • Diabetic Foot Care
    • Foot Care For Seniors
    • Foot Self-Exam
    • Pedicures
    • Self-Assessment Quiz
    • Women's Feet
      • High Heels
      • Stockings?
      • Pregnancy
      • Women Over 65
    • Your Feet at Work
    • Bunion Prevention
    • Burning Feet
    • Fungus Problems
      • Athlete's Foot
      • Common Fungal Problems
      • Fungal Nails
      • Other Tips
      • Prevention
    • Ingrown Nails
    • Osteoporosis
    • Foot Odor and Smelly Feet
      • Prevention
      • Treating Foot Odor
  • Shoes
    • Anatomy of a Shoe
    • Athletic Shoe Guidelines
    • Children's Shoes
    • Corrective and Prescription Shoes
    • What To Look For
    • Getting a Proper Fit
    • Men's Shoes
    • Women's Shoes
    • Your Footprint
    • Wear Patterns
  • Links
    • Government
    • Associations/Groups
    • Online Resources


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Our Locations

817-424-3668 (FOOT)

1940 East State Hwy 114,
Suite 150
Southlake, TX 76092
 New loaction
 6501 Precinct Line Road
 Suite 100,
 North Richland Hills, TX 76182
 
4444 Heritage Trace Pkwy.,
Suite 400
Keller, TX 76244
5810 Long Prairie Rd.,
Suite 400
Flower Mound, TX 75028
 
Office Hours
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed
Sunday:Closed
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