Management of the Recurrent Deformity in a Flexible Foot Following Failure of Tendon Transfer: Is Arthrodesis Necessary?

被引：12

作者：

Hatic, Safet O., II ^{[2
]}

Philbin, Terrence M. ^{[1
,3
]}

机构：

[1] Orthoped Foot & Ankle Ctr, Westerville, OH 43082 USA

[2] Orthoped Associates SW Ohio, Dayton, OH 45414 USA

[3] Doctors Hosp Residency, Foot & Ankle Serv, Columbus, OH USA

来源：

FOOT AND ANKLE CLINICS | 2012年 / 17卷 / 02期

关键词：

Flexible flatfoot; Hindfoot arthrodesis; Posterior tibial tendon dysfunction; ACQUIRED FLATFOOT DEFORMITY; DIGITORUM LONGUS TRANSFER; CALCANEAL OSTEOTOMY; TALONAVICULAR ARTHRODESIS; ADULT; DYSFUNCTION; HINDFOOT;

D O I：

10.1016/j.fcl.2012.03.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Recurrence of deformity following soft tissue reconstruction, including tendon transfer, in the context of treatment for stage II flatfoot deformity represents a challenging problem for even the most experienced foot and ankle surgeon. The goals of treatment in flexible flatfoot should include restoration of alignment and alleviation of pain while minimizing stiffness, maintaining motion, and avoiding overcorrection. Arthrodesis should be reserved for fixed deformities or flexible deformities failing soft tissue reconstruction, including tendon transfer, where revision with extra-articular procedures is unlikely to facilitate adequate realignment and resolution of symptoms.

引用

页码：299 / +

页数：10

共 23 条

[1] Lateral column calcaneal lengthening, flexor digitorum longus transfer, and opening wedge medial cuneiform osteotomy for flexible flatfoot: A biomechanical study [J].

Benthien, Ross A. ;

Parks, Brent G. ;

Guyton, Gregory P. ;

Schon, Lew C. .

FOOT & ANKLE INTERNATIONAL, 2007, 28 (01) :70-77

[2] Hindfoot Motion Following Reconstruction for Posterior Tibial Tendon Dysfunction [J].

Brodsky, James W. ;

Charlick, Daniel A. ;

Coleman, Scott C. ;

Pollo, Fabian E. ;

Royer, Christian T. .

FOOT & ANKLE INTERNATIONAL, 2009, 30 (07) :613-618

[3] Interference Screw Fixation and Short Harvest Using Flexor Digitorum Longus (FDL) Transfer for Posterior Tibial Tendon Dysfunction: A Technique [J].

Bussewitz, Bradly W. ;

Hyer, Christopher F. .

JOURNAL OF FOOT & ANKLE SURGERY, 2010, 49 (05) :501-503

[4]

Cohen B E, 2001, Foot Ankle Clin, V6, P121, DOI 10.1016/S1083-7515(03)00085-8

[5] The Isolated Talonavicular Arthrodesis [J].

Crevoisier, Xavier .

FOOT AND ANKLE CLINICS, 2011, 16 (01) :49-59

[6] Adult-acquired flatfoot deformity [J].

Deland, Jonathan T. .

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2008, 16 (07) :399-406

[7]

Den Hartog B D, 2001, Foot Ankle Clin, V6, P67, DOI 10.1016/S1083-7515(03)00079-2

[8] Randomized prospective study comparing tri-cortical iliac crest autograft to allograft in the lateral column lengthening component for operative correction of adult acquired flatfoot deformity [J].

Dolan, Christopher M. ;

Henning, Jeffrey A. ;

Anderson, John G. ;

Bohay, Donald R. ;

Kornmesser, Marc J. ;

Endres, Terrence J. .

FOOT & ANKLE INTERNATIONAL, 2007, 28 (01) :8-12

[9]

Fortin P T, 2001, Foot Ankle Clin, V6, P137, DOI 10.1016/S1083-7515(03)00087-1

[10]

Giza Eric, 2007, Foot Ankle Clin, V12, P251, DOI 10.1016/j.fcl.2007.03.008

← 1 2 3 →