Severe hindfoot valgus correction: arthroereisis, osteotomies for rigid or symptomatic cases. Dr. Priano, Milan.
Surgical correction for severe hindfoot malalignment
Learn about this condition →Minimally invasive insertion of an implant in the sinus tarsi to limit excessive pronation and correct hindfoot valgus. Same procedure as for flatfoot.
Symptomatic flexible hindfoot valgus in children 8-14 years not responding to conservative treatment.
No cast. Progressive weight bearing. Implant removal after 2-3 years.
Correction of severe hindfoot valgus through displacement of the calcaneus to restore normal alignment.
Severe rigid hindfoot valgus, failed arthroereisis, older adolescents.
Cast for 6 weeks. Progressive weight bearing. Full recovery 3 months.
Hindfoot valgus treatment follows similar principles to flatfoot correction. The choice between arthroereisis and osteotomy depends on flexibility, severity, and patient age.
Note: This is an indicative pathway, personalised after surgery. Some elements are relatively stable (goal of the procedure, approximate hospital stay, presence of a cast or brace); others depend on the individual case (weight bearing, range of motion, imaging, sport, hardware removal, follow-up intervals) and on the surgical technique chosen.
Day-surgery for arthroereisis. 1 night for osteotomy.
Arthroereisis: Same as flatfoot protocol. Osteotomy: Non-weight bearing cast for 3-4 weeks.
Arthroereisis: Full weight bearing by week 2-3. Osteotomy: Progressive weight bearing in walking boot.
Full activities resumed. Custom orthotics if indicated.
Arthroereisis: Sport at 2 months. Osteotomy: Sport at 3-4 months.
Same as flatfoot surgery. Arthroereisis implant removal at 2-3 years.
Similar to flatfoot surgery: implant intolerance, under/overcorrection. Osteotomy: delayed union rare.
Causes, diagnosis, conservative options and when surgery is considered.
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