Flatfoot & Arch Reconstruction | Arizona Foot Surgeons

Understanding Flatfoot & Arch Reconstruction Surgery

Flatfoot and arch reconstruction surgery is a specialized corrective approach designed to restore proper alignment, rebuild the arch, and stabilize the tendons and ligaments responsible for healthy foot mechanics.
While many patients benefit from conservative treatment, surgery may be appropriate when the deformity is progressive, rigid, painful, or causing functional limitations. The goal is not simply to “raise the arch,” but to correct the underlying structural issues that lead to collapse.

Flatfoot and arch reconstruction may be recommended for:

Progressive or rigid flatfoot deformity
Posterior tibial tendon dysfunction (PTTD) / adult-acquired flatfoot
Collapsed arches causing chronic pain or swelling along the inside of the ankle
Foot and ankle arthritis contributing to arch collapse
Ligament instability or joint malalignment
Chronic tendon tears or degeneration
Congenital or traumatic deformities affecting arch structure
Difficulty walking, standing, or wearing shoes due to foot collapse

Our surgeons evaluate biomechanics, tendon function, joint stability, and your lifestyle goals to determine whether reconstructive surgery or a non-surgical plan is the best path to long-term relief.

What to Expect Before, During, and After Reconstruction

Before Surgery

Your care begins with a detailed evaluation, including advanced imaging (such as CT or MRI scans), gait analysis, and biomechanical assessment. We review your medical history, current symptoms, and activity goals to design a personalized treatment plan. You’ll receive pre-operative instructions, medication guidance, and answers to all your questions so you feel confident and prepared.

During Surgery

Flatfoot and arch reconstruction uses advanced, evidence-based techniques to:

Correct foot alignment
Stabilize the arch
Repair or reconstruct damaged tendons
Address ligament instability
Realign joints to their natural functional positions

Every procedure is tailored to the causes of your deformity, focusing on durability,
mobility, and long-term outcomes.

After Surgery

Recovery begins with immobilization and protection of the foot, followed by a gradual, structured rehabilitation process. Our team provides clear instructions on:

Weight-bearing progression
Wound care
Transitioning to a boot or supportive footwear
Physical therapy

We closely monitor healing and adjust your plan as needed to ensure optimal recovery
and return to activity.

Are You a Candidate for Arch Reconstruction Surgery?

You may be a candidate if flatfoot deformity is affecting your comfort, mobility, or quality of life—especially if pain persists despite conservative care.

You may benefit from surgery if:

You experience persistent or worsening pain along the inside of the foot or ankle
Your arch continues to collapse
Walking, standing, or exercising causes discomfort or fatigue
Orthotics, bracing, or physical therapy no longer provide relief
Your foot feels unstable or rolls inward excessively
Swelling, tendon weakness, or joint stiffness is present
You have a rigid or advanced flatfoot deformity impacting daily activities

A consultation will determine whether surgical reconstruction offers meaningful improvement based on your biomechanics, tendon health, and activity goals.

See if Arch Reconstruction Surgery is Right For You

If you’re experiencing pain, instability, or symptoms associated with adult-acquired flatfoot, the Foot & Ankle Center of Arizona can help. Our team—led by Dr. Kris A. DiNucci, DPM, FACFAS—provides expert diagnosis and personalized treatment options designed to protect foot function and long-term mobility.

Don’t let flatfoot deformity limit your activity or quality of life. Take the next step toward lasting relief.

Request an Appointment

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