Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Skewed flatfoot

Skewed flatfoot refers to a malposition where the heel pivot is turned outwards from the lower leg pivot under load (splayed foot). At the same time, the foot arch flattens out to varying degrees (fallen arches, flat foot).

Adults who develop fallen arches/flatfoot initially experience pain behind the inner ankle and the inner edge of the foot. The cause of this is damage or failure of the tendon of the rear shinbone muscle (musculus tibialis posterior). This is also the reason why standing on tiptoes becomes more difficult or even impossible. Later the shape of the foot changes. On the inner edge of the foot, painful bone protrusions may develop and pain increasingly occurs on the outside of the foot.

Conservative treatment consists at an early stage of individually adapted stable inserts and specific physiotherapeutic measures. However, these measures are not suitable for correcting an existing malposition or halting the progress of the illness. It is therefore important to be examined at least every three months by the orthopaedic specialist in order to detect the advancement of the deformity at an early stage.

A positional correction of the foot with corresponding alleviation of the complaint is only possible with operative measures. At an early stage, the affected tendon can be replaced (tendon transfer). With adults, this operation is always carried out with a positional correction of the heel bone.

At advanced stages, the malpositioned joints of the hindfoot must be returned to their original position and fixed in this position. After the operation, the foot is immobilised for six to ten weeks in a plaster cast or a special shoe. During this time, the foot must be rested and the patient should use crutches.

Then he or she can allow the foot to get used to increasing loads again with the help of physiotherapists. Additional orthopaedic measures such as insoles or custom-made orthopaedic shoes support the recovery process.

Orthopaedics: Paediatric orthopaedics
Skewed flatfoot

Whereas skewed flatfoot may occur in childhood development and usually disappears again later, in a few children it leads to decompensation:

More information.

To top