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

Abstract

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

• Authors: Amir H Fayazi, Hoan-Vu Nguyen, Paul J Juliano
• Journal: Foot & ankle international (Foot Ankle Int) Vol. 23 Issue 12 Pg. 1107-11 (Dec 2002) ISSN: 1071-1007 [Print] United States
• PMID: 12503801 (Publication Type: Journal Article)

Topics

• Calcaneus (surgery)
• Combined Modality Therapy
• Flatfoot (surgery)
• Follow-Up Studies
• Humans
• Osteotomy (methods)
• Posterior Tibial Tendon Dysfunction (surgery)
• Postoperative Complications
• Tendon Transfer