KIDNER PROCEDURE FOR SYMPTOMATIC ACCESSORY NAVICULAR AND ITS RELATION TO PES PLANUS

被引：52

作者：

PRICHASUK, S

SINPHURMSUKSKUL, O

机构：

[1] Mahidol University, Orthopaedae, Assistant Professor., Bangkok, Ramathibodi Hospital, Rama VI Road

来源：

FOOT & ANKLE INTERNATIONAL | 1995年 / 16卷 / 08期

关键词：

D O I：

10.1177/107110079501600807

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：

The role of relocation of tibialis posterior tendon insertion in the treatment of symptomatic accessory navicular and its relation to the pes planus was studied in 28 patients with symptomatic accessory navicular. Two hundred non-affected individuals were used as control. The calcaneal pitch angle measured radiographically, was used as an indicator of pes planus. All patients had had an excision of the accessory navicular and relocation of the tibialis posterior tendon insertion (Kidner procedure). The average follow-up was 3.2 years. The results were good in 27 patients, and fair in 1 patient, and there were no poor results. Most of the patients demonstrated that the pain and the fatigue signs of the foot and the leg have been improved. Only 3 of 25 patients clinically showed an improvement of the medial longitudinal arch. The calcaneal pitch angle in patients with symptomatic accessory navicular was significantly (14.8 degrees) lower than that in normal subjects (21.4 degrees). An association of pes planus and symptomatic accessory navicular was shown. The Kidner procedure gave good results in the relief of pain and fatigue in patients with symptomatic accessory navicular. The procedure did not significantly restore the height of the medial arch.

引用

页码：500 / 503

页数：4

共 16 条

[1]

Basmajian J.V., Stecko G., Role of muscles in arch support of the foot, J. Bone Joint Surg., 45A, pp. 1184-1190, (1963)

[2]

Bleck E.E., Berzins U.J., Conservative management of pes valgus with plantar flexed talus, flexible, Clin. Orthop., 122, pp. 85-94, (1977)

[3]

Chater E.H., Foot pain and the accessory navicular bone, Irish J. Med. Sci., 442, pp. 471-475, (1962)

[4]

Dwyer F.C., The relationship of variations in the size and inclination of the calcaneus to the shape and function of the whole foot, Ann. R. Coll. Surg., 34, pp. 120-137, (1964)

[5]

Funk D.A., Cass J.R., Johnson K.A., Acquired adult flat foot secondary to posterior tibial-tendon pathology, J. Bone Joint Surg., 68A, pp. 95-102, (1968)

[6]

Geist E.S., Supermumary bone of the foot—a roentgen study of the feet of one hundred normal individuals, Am. J. Orthop. Surg., 12, pp. 403-414, (1914)

[7]

Geist E.S., The accessory scaphoid bone, J. Bone Joint Surg., 7, pp. 570-574, (1925)

[8]

Kidner F.C., The pre-hallux in relation to flatfoot, J.A.M.A., 101, pp. 1539-1542, (1933)

[9]

Leonard M.H., Gonzalez S., Brecc L.W., Basom C., Palafox M., Kosicki Z.W., Lateral transfer of the posterior tibial tendon in certain selected cases of pes plano valgus (Kidner operation), Clin. Orthop., 40, pp. 139-144, (1965)

[10]

Macnicol M.F., Voutsinas S., Surgical treatment of the symptomatic accessory navicular, J. Bone Joint Surg., 66B, pp. 218-226, (1984)

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