EOTTS (Extra-Osseous TaloTarsal Stabilization), a minimally invasive flat foot correction surgery performed by Dr. Joel Foster, is considered a safe and effective option for many children and teens with flexible flat feet.
Flat feet in young patients are often caused by excessive motion in the talotarsal joint, where the ankle bone (talus) shifts out of proper alignment over the heel bone. This can lead to a collapsed arch, inward rolling of the foot, fatigue, and pain with activity. While orthotics and braces can help manage symptoms, they don’t correct the underlying issue—and symptoms often return when they’re not being worn.
Why EOTTS is the #1 Surgery for Flat Feet
EOTTS is different because it addresses the root cause of flat feet in a minimally invasive way. The procedure involves placing a small titanium stent into a natural space in the foot called the sinus tarsi. This implant acts as a stabilizer, preventing excessive motion while still allowing normal movement. The result is improved alignment, a more natural arch, and better overall foot function.
For children and teens, this approach offers several important safety advantages:
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No cutting of bone or joint fusion, which helps preserve natural growth and development
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Very small incision (typically 1–2 cm) with minimal tissue disruption
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Performed under local anesthesia in many cases, avoiding more complex surgical risks
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Immediate or early weight-bearing, meaning many patients can walk right after the procedure
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Low complication rates due to the simplicity and minimally invasive nature of the technique
Compared to traditional reconstructive surgeries—which may involve bone cuts, tendon transfers, or permanent hardware—EOTTS is much less invasive and significantly easier for younger patients to tolerate and recover from.
Double Board-Certified Expertise You Can Trust
Dr. Joel Foster, a double board-certified podiatric surgeon with over 25 years of experience, carefully evaluates each child or teen to determine if they are a good candidate. EOTTS is typically recommended for patients who:
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Have flexible flat feet (an arch that collapses when standing)
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Experience pain, fatigue, or difficulty with sports or daily activities
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Want a permanent solution rather than a lifetime of custom orthotics or bracing
Alabama Parent Thrilled with Daughter’s EOTTS Results
Lindsay Smothers and her husband spent years researching solutions for their daughter Lola’s painful flat feet. By age 10, Lola struggled with daily pain, limited activity, difficulty wearing certain shoes, and an abnormal gait. Concerned about the long-term impact on her knees, hips, and back, her parents—both in physical therapy—sought a lasting solution. After extensive research, they chose to travel from Alabama to see Dr. Joel Foster, whose expertise and patient-centered approach gave them confidence in pursuing the EOTTS procedure.
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Lola’s surgery was quick, and her recovery was smoother than expected, with minimal pain and a rapid return to walking and normal activities. Within weeks, she transitioned back to regular shoes, and by two months, she resumed full activity without limitations. Today, Lola is active, pain-free, and even participating in sports—something that once seemed impossible. Her family reports a life-changing experience and strong satisfaction with both the results and the care they received.
“We are forever grateful to Dr. Foster and his entire staff, and we would return back for future needs without hesitation. We would absolutely recommend Dr. Foster to anyone. Our experience with Dr. Foster was so pleasant and we couldn’t be happier with our results,” -Lindsay Smothers
