Lateral column lengthening augmented by medial split tibialis posterior tendon advancement for the treatment of symptomatic flexible flatfeet

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Lateral Column Lengthening for Posterior Tibial Tendon Dysfunction and Flatfoot

INTRODUCTION: Posterior tibial tendon dysfunction (PTTD) is the most common cause of the adult flatfoot and is treated with a variety of operations such as tendon transfers, ligament reconstruction, osteotomies, and arthrodeses. Lateral column lengthening with a calcaneocuboid fusion (LCL) (Fig. 1) has been reported for treatment of PTTD in adults (1) to correct the deformity, while minimizing ...

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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...

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Tibialis posterior tendon dysfunction.

Dysfunction of the tibialis posterior tendon evolves through a series of stages. The pain symptoms, clinical signs, and roentgenographic changes for each of these stages are characteristic. This staging system permits clarification and individualization of dysfunction, expected pathologic changes, and surgical treatment. The importance of the tibialis posterior tendon in normal hindfoot functio...

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Dysfunction of the tendon of tibialis posterior.

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B7. 15084 $2.00 J Bone Joint Surg [Br] 2004;86-B:939-46. An acquired flat-foot deformity caused by dysfunction of the tendon of tibialis posterior is common but often missed. Rupture of the tendon was first described in 1953.1 In 1969 Kettelkamp and Alexander2 published results of surgical exploration. They conclu...

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Split tibialis posterior tendon transfer for correction of spastic equinovarus hindfoot deformity.

Equinovarus hindfoot deformity is one of the most common deformities in children with spastic paralysis ; it is usually secondary to cerebral palsy. Split tibialis posterior tendon transfer is performed to balance the flexible spastic varus foot and is preferable to tibialis posterior lengthening, as the muscle does not loose its power and therefore the possibility of a valgus or calcaneovalgus...

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ژورنال

عنوان ژورنال: International Journal of Research in Orthopaedics

سال: 2019

ISSN: 2455-4510

DOI: 10.18203/issn.2455-4510.intjresorthop20192641