The arch of the foot often collapses, and pressure areas develop on the bottom of the foot, leading to open sores or ulcers.
While many of these deformities can be treated with non-surgical care, surgery may be required. Such instances may include:
- Chronic deformity with increased plantar pressures and risk of ulcers.
- Chronic deformity with significant instability that cannot be corrected by braces.
- Significant deformity that may include ulcers that don't heal or respond to therapy.
- Hindfoot and ankle realignment. This kind of procedure is usually prescribed when there is significant instability resulting in a patient being unable to walk. Various types of internal fixation are placed within the foot during this kind of procedures.
- Midfoot realignment. This kind of procedure is usually prescribed when there is significant instability of the middle portion of the foot. During a midfoot realignment, various types of internal fixation are placed within the foot.
- Ostectomy - in which a portion of bone is removed from the bottom of the foot. This procedure is usually performed for a wound on the bottom of the foot that is secondary to pressure from a bony prominence.