Journal article
Should it Stay or Should it Go? Thinking Critically About Posterior Tibial Tendon Excision in Flatfoot Correction
Techniques in foot & ankle surgery, Vol.18(4), pp.166-173
12/01/2019
DOI: 10.1097/BTF.0000000000000254
Abstract
Stage II adult acquired flatfoot deformity is characterized by painful, progressive collapse long thought to be driven by posterior tibialis tendon (PTT) deficiency or insufficiency. In this article, we discuss the history of our understanding the role of the PTT in the development of adult acquired flatfoot deformity, and considerations in tendon excision in flatfoot correction. We argue that routine excision of the PTT should be rethought and instead the tendon should be critically assessed in each case and debridement with repair should be attempted when appropriate. Technique for flexor digitorum longus transfer is detailed as well as preoperative evaluation, imaging, nonoperative treatment, and adjuvants including biologics.
Details
- Title: Subtitle
- Should it Stay or Should it Go? Thinking Critically About Posterior Tibial Tendon Excision in Flatfoot Correction
- Creators
- Alexandra M. Dunham - Johns Hopkins Univ, Dept Orthoped, Baltimore, MD 21218 USACesar De Cesar Netto - University of IowaAlexandre L. Godoy-Santos - Univ Sao Paulo, Dept Orthoped, Sao Paulo, SP, BrazilLew C. Schon - Medstar Union Mem Hosp, Baltimore, MD USA
- Resource Type
- Journal article
- Publication Details
- Techniques in foot & ankle surgery, Vol.18(4), pp.166-173
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/BTF.0000000000000254
- ISSN
- 1536-0644
- eISSN
- 1538-1943
- Number of pages
- 8
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303967702771
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