Intermediate term follow-up of calcaneal osteotomy and flexor digitorum longus transfer for treatment of posterior tibial tendon dysfunction.

作者: Amir H. Fayazi , Hoan-Vu Nguyen , Paul J. Juliano

DOI: 10.1177/107110070202301205

关键词:

摘要: Twenty-three patients with stage II posterior tibial tendon dysfunction who had failed non-surgical therapy were treated flexor digitorum longus transfer and calcaneal osteotomy. At latest follow-up averaging 35±7 months (range, 24 to 51 months), 22 (96%) subjectively “better” or “much better.” No patient difficulty shoe wear; however, four (17%) required routine orthotic use consisting of a molded insert. AOFAS scores available on 21 improved from preoperative mean 50±14 27 85) postoperative 89±10 70 100). Our experience, at an intermediate date is that osteotomy safe effective form treatment for dysfunction.

参考文章(13)
D A Funk, J R Cass, K A Johnson, Acquired adult flat foot secondary to posterior tibial-tendon pathology. Journal of Bone and Joint Surgery, American Volume. ,vol. 68, pp. 95- 102 ,(1986) , 10.2106/00004623-198668010-00012
Susan Moseir-LaClair, Gregory Pomeroy, Arthur Manoli, Intermediate Follow-Up on the Double Osteotomy and Tendon Transfer Procedure for Stage II Posterior Tibial Tendon Insufficiency: Foot & Ankle International. ,vol. 22, pp. 283- 291 ,(2001) , 10.1177/107110070102200403
R A Mann, F M Thompson, Rupture of the posterior tibial tendon causing flat foot. Surgical treatment. Journal of Bone and Joint Surgery, American Volume. ,vol. 67, pp. 556- 561 ,(1985) , 10.2106/00004623-198567040-00009
John M. Crates, E. Greer Richardson, Treatment of stage I posterior tibial tendon dysfunction with medial soft tissue procedures. Clinical Orthopaedics and Related Research. ,vol. 365, pp. 46- 49 ,(1999) , 10.1097/00003086-199908000-00006
Robert D. Teasdall, Kenneth A. Johnson, Surgical Treatment of Stage I Posterior Tibial Tendon Dysfunction Foot & Ankle International. ,vol. 15, pp. 646- 648 ,(1994) , 10.1177/107110079401501203
Harold B. Kitaoka, Ian J. Alexander, Robert S. Adelaar, James A. Nunley, Mark S. Myerson, Melanie Sanders, Clinical Rating Systems for the Ankle-Hindfoot, Midfoot, Hallux, and Lesser Toes Foot & Ankle International. ,vol. 15, pp. 349- 353 ,(1994) , 10.1177/107110079401500701
Gregory C. Pomeroy, Arthur Manoli, A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. Foot & Ankle International. ,vol. 18, pp. 206- 212 ,(1997) , 10.1177/107110079701800404
Susan M. Mosier, David R. Lucas, Gregory Pomeroy, Arthur Manoli, Pathology of the Posterior Tibial Tendon in Posterior Tibial Tendon Insufficiency Foot & Ankle International. ,vol. 19, pp. 520- 524 ,(1998) , 10.1177/107110079801900803