How long is the recovery from minimally invasive flatfoot surgery? If I need to lengthen a patient’s Achilles tendon, the surgery takes an additional 30 minutes. If the Achilles is not tight, patients are in and out of the operating room in about one hour. This depends on whether or not a patient’s Achilles tendon also needs to be lengthened. How long does minimally invasive flatfoot surgery take? Within three years, the screw is no longer needed and can be removed. The screw stabilizes the foot and acts as a mechanical barrier, preventing the bones from returning to a flat position. How does SESA surgery work?įor this procedure, I make a small incision near the ankle and place a SESA screw next to the joint. Patients can’t put weight on their foot for several months afterwards, and full recovery takes a good six months. The procedure, which can take four to five hours, involves cutting bones in the foot and reorienting them. What is the traditional surgical approach for flexible flatfoot?īefore now, the only surgical option for flexible flatfoot in the U.S. Even then, surgery is usually only appropriate after a child’s foot has fully developed, around age 8 or 10. I only recommend surgery for children who continue to be in pain despite conservative treatments. Physical therapy, stretching, shoe inserts, or some combination of these will resolve their pain. Most kids with symptomatic flexible flatfoot don’t need surgery.
When is surgery an option for flexible flatfoot? Mahan talks about the minimally invasive SESA surgery and which patients may benefit. Currently, Boston Children’s is one of the only hospitals in the U.S. Since then, she has used the SESA surgery to correct over thirty different patients’ flexible flatfoot. Susan Mahan, an orthopedic surgeon in the Lower Extremity Program at Boston Children’s, travelled to Italy in 2018 to learn the procedure from the surgeon who developed it. Compared to traditional flatfoot surgery, recovery from the SESA procedure is much quicker and less painful.ĭr. A minimally invasive procedure, subtalar extra-articular screw arthroereisis (SESA), has been practiced there for several decades and is now practiced at Boston Children’s Hospital as well. Susan Mahan travelled to Italy to learn the procedure from the surgeon who developed it.Ĭhildren in many parts of Europe, however, have another option.
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