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Radiographic evaluation of endoscopic gastrocnemius recession, subtalar joint arthroereisis, and flexor tendon transfer for surgical correction of stage II posterior tibial tendon dysfunction: a pilot study.
- Source :
-
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2008 Sep-Oct; Vol. 47 (5), pp. 400-8. - Publication Year :
- 2008
-
Abstract
- Unlabelled: The best procedure for surgical correction of stage II posterior tibial tendon dysfunction has long been a source of debate among foot and ankle surgeons. A combination of endoscopic gastrocnemius recession, subtalar joint arthroereisis, and flexor digitorum longus tendon transfer has been used in an attempt to avoid some of the complications seen with calcaneal osteotomies, and to allow an earlier return to function and weight bearing. A retrospective analysis of preoperative and postoperative radiographic changes in 10 patients for whom surgical correction of the deformity was performed between 2003 and 2006 is presented as a pilot study. Seven radiographic variables considered standard for the radiographic assessment of posterior tibial tendon dysfunction were measured. The outcome measure of interest was the return of radiographic variables to normal ranges following surgical correction of the deformity. In addition, preoperative and postoperative clinical outcomes were assessed to evaluate the long-term clinical benefits of this trio of procedures. Radiographic values were noted to return to normal ranges in all cases following this trio of surgical procedures; these changes were statistically significant (P < or = .05). These preliminary results suggest that this surgical combination provides satisfactory correction of deformity in patients presenting with stage II posterior tibial tendon dysfunction.<br />Level of Clinical Evidence: 4.
- Subjects :
- Adult
Arthrodesis
Endoscopy
Female
Foot Bones diagnostic imaging
Foot Joints diagnostic imaging
Humans
Joint Prosthesis
Middle Aged
Muscle, Skeletal diagnostic imaging
Pilot Projects
Posterior Tibial Tendon Dysfunction classification
Radiography
Retrospective Studies
Subtalar Joint diagnostic imaging
Muscle, Skeletal surgery
Posterior Tibial Tendon Dysfunction diagnostic imaging
Posterior Tibial Tendon Dysfunction surgery
Subtalar Joint surgery
Tendon Transfer
Subjects
Details
- Language :
- English
- ISSN :
- 1542-2224
- Volume :
- 47
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 18725119
- Full Text :
- https://doi.org/10.1053/j.jfas.2008.06.005