Treatment concept by Dr Marc Merian
As part of my many years of research into the biomechanics of the foot and ankle, I have developed a treatment concept that goes beyond the purely diagnosis-related application of individual surgical techniques. The aim of this concept is to restore the normal biomechanical functions of the foot as completely as possible.
The concept developed specifically for the treatment of fallen arches and flat feet was published in the international specialist journal Foot & Ankle International and scientifically reviewed by recognised experts in foot and ankle surgery. It has now been studied by over a thousand specialist colleagues worldwide.
The core of the concept is the restoration of the so-called truss structure of the foot. This is achieved through precise surgical correction of the bony structures and the joints involved in relation to the functional foundation of the foot - the plantar fascia. This strong connective tissue structure along the sole of the foot is the most important passive stabiliser and thus forms the biomechanical foundation of the foot.
The concept makes it possible to respond individually to the specific characteristics of each foot malposition. The techniques that are best suited to the respective patient situation can be selected and combined from the broad spectrum of modern surgical procedures
Merian M, Kaim A
The Plantar Fascia Talar Head Correlation: A Radiographic Parameter With a Distinct Threshold to Validate Flatfoot Deformity and Its Corrective Surgery on Conventional Weightbearing Radiographs.
Foot & Ankle Int. 2022; 43(3): 414-425.
DOI: 10.1177/10711007211052258 PMID: 34802299
I am currently working on expanding my biomechanically orientated treatment concept to include complaints of the forefoot and midfoot, such as hallux rigidus, hallux valgus, hammertoes, splayfeet or arthrotic changes.
As many foot and ankle complaints influence each other or are even causally linked, complex and individually different misalignments and functional disorders often occur. A treatment concept that aims to restore the most physiological foot biomechanics possible therefore enables significantly more differentiated and individualised treatment planning. In contrast to the exclusively diagnosis-based choice of individual surgical techniques, this holistic approach considers the foot in its entirety - with all its functional relationships and individual characteristics.