Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior

Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior. Three- to five-year results.

The treatment of acquired flat foot secondary to dysfunction of the posterior tibial tendon (PTT) of stage II, as classified by Johnson and Strom, remains controversial. Joint sparing and soft-tissue reconstructive procedures give good early results, but few studies describe those in the medium-term. We studied prospectively the outcome of surgery in 51 patients with classical stage-II dysfunct...

Cobb procedure and Rose calcaneal osteotomy for the treatment of tibialis posterior tendon dysfunction.

Forty-three patients with stage 2 posterior tibialis tendon dysfunction underwent surgical reconstruction in the form of a Cobb procedure and Rose calcaneal osteotomy between 1997 and 2003, and were evaluated pre- and postoperatively. The average age was 57 years, and the mean followup time was 51 months (range 10-83). The average AOFAS score preoperatively was 58 and improved to 85 postoperati...

New method for fixation point of tibialis posterior tendon transfer

 Background: The transfer of the tibialis posterior tendon to the dorsum of foot can restore the function of the paralyzed dorsiflexor muscles of the foot and ankle. In order to reduce the wound complication in the insertion site of tendon to bone by a plantar knop we used a new method of fixation by an absorbable screw inserted dorsally. Methods: we performed this operation on 15 patients in...

Addressing stage II posterior tibial tendon dysfunction: biomechanically repairing the osseous structures without the need of performing the flexor digitorum longus transfer.

The clinical presentation of adult flatfoot can range from a flexible deformity with normal joint integrity to a rigid, arthritic flat foot. Debate still exists regarding the surgical management of stage II deformities, especially in the presence of medial column instability. This article reviews and discusses various surgical options for the correction of stage II flatfoot reconstructive proce...

Tendon Transfer in Congenital Deficiency of Flexor Pollicis Longus