Reconstructive Foot & Ankle Surgery in Fairfax, VA

When a foot or ankle has lost its alignment, stability, or a healthy joint, reconstructive surgery restores how it works. That might mean rebuilding a collapsed arch, repairing torn ligaments, fusing an arthritic joint, or putting a severe injury back together.

Both of our surgeons completed advanced fellowship training after residency: Dr. Rafii at Virginia Foot and Ankle Surgical Associates in Charlottesville, focused on reconstructive and complex surgery, and Dr. Falco at University Hospitals in Chardon, Ohio. Surgery is recommended only after conservative options have been considered, and every plan is built around your activity goals.

Who it's for

• Adult acquired flatfoot and posterior tibial tendon dysfunction
• Chronic ankle instability after repeated sprains
• Ankle osteoarthritis and midfoot arthritis
• High arches (cavus foot)
• Achilles and peroneal tendon tears
• Severe or complex fractures and dislocations
• Charcot reconstruction
• Revision of prior foot or ankle surgery

What to expect

1. Detailed evaluation. Weight-bearing X-rays, often with CT or MRI, show exactly where the problem is.
2. Options, explained. We walk through conservative and surgical options, including the risks, benefits, and recovery for each.
3. Pre-surgical planning. Each procedure is planned around your anatomy, health, and goals. We coordinate medical clearance and time off.
4. Surgery. Performed at a hospital or outpatient surgery center near our Fairfax office.
5. Structured recovery. A staged plan moves you from protection to weight bearing to physical therapy, with regular follow-up visits along the way.

Procedures

• Flatfoot reconstruction (tendon transfer, osteotomy, fusion)
• Lateral ankle ligament repair and reconstruction
• Ankle arthroscopy
• Ankle, subtalar, and midfoot fusion
• Cavus foot reconstruction
• Achilles and peroneal tendon repair
• Fracture and dislocation repair (see Fracture Management)

Dr. Shyaun Rafii, a Fellow of the American College of Foot and Ankle Surgeons, completed fellowship training in reconstructive and complex foot and ankle surgery at Virginia Foot and Ankle Surgical Associates. Dr. Andrew Falco completed fellowship training at University Hospitals in Chardon, Ohio, and reconstructive care is among his core areas of expertise. Their interest in innovation began in residency, when they developed medical products that led to two patents.