Flexor hallucis longus tendon transfer: evaluation of postoperative morbidity.

Abstract:

:Clinical and pedobarograph evaluation was performed on 16 patients following flexor hallucis longus (FHL) tendon transfers to determine the resulting morbidity due to the loss of FHL function. All patients underwent FHL tendon transfer for either chronic tendon Achilles rupture or chronic Achilles tendinosis. Clinical evaluation of hallux function was performed using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale, the SF-36 score, and a clinical questionnaire to assess alteration in the clinical function of the hallux during activities of daily living. Pedobarography was carried out using the Musgrave pedobarograph system to detect changes in forefoot loading in comparison to the contralateral normal foot. Fourteen of the 16 patients scored maximally on the hallux metatarsophalangeal-interphalangeal scale and none of the patients noticed functional weakness of the hallux during activities of daily living at a mean follow-up of 43.6 months (range, 5-120 months). Pedobarograph readings showed a trend toward reduction in peak pressure loading on the distal phalanx, but this was not significant for the numbers of patients studied. There was no significant increase in loading of the first or second metatarsophalangeal joints to suggest that transfer metatarsalgia may complicate FHL tendon transfer. According to the results of the study morbidity from FHL transfer should be clinically insignificant.

journal_name

Foot Ankle Int

authors

Coull R,Flavin R,Stephens MM

doi

10.1177/107110070302401211

keywords:

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

931-4

issue

12

eissn

1071-1007

issn

1944-7876

journal_volume

24

pub_type

杂志文章
  • Effect of Patient Demographics on Minimally Important Difference of Ankle Osteoarthritis Scale Among End-Stage Ankle Arthritis Patients.

    abstract:BACKGROUND:Ankle replacement and ankle arthrodesis are standard treatments for treating end-stage ankle arthritis when conservative treatment fails. Comparing patient-reported outcome scores to the instrument's minimal important difference (MID) helps physicians and researchers infer whether a meaningful change in heal...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720977842

    authors: Sutherland JM,Albanese CM,Wing K,Zhang YJ,Younger A,Veljkovic A,Penner M

    更新日期:2021-01-27 00:00:00

  • Single-incision medial approach for double arthrodesis of hindfoot in posterior tibialis tendon dysfunction.

    abstract:BACKGROUND:Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehiscence, and adjacent joint arthritis have been reported after tri...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100712468564

    authors: Anand P,Nunley JA,DeOrio JK

    更新日期:2013-03-01 00:00:00

  • Increased displacement maximizes the utility of the distal chevron osteotomy for hallux valgus deformity correction.

    abstract:BACKGROUND:Correction of hallux valgus deformity with distal chevron osteotomy is limited by the amount of lateral translation achieved. Since 1999, the senior author has performed a modified technique referred to as increased displacement distal chevron osteotomy in which the distal fragment is translated laterally as...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.0155

    authors: Murawski DE,Beskin JL

    更新日期:2008-02-01 00:00:00

  • Healing of Achilles tendon, an experimental study: part 2--Histological, immunohistological and ultrasonographic analysis.

    abstract::In 105 rabbits the course of healing was examined at one, two, four, eight and 12 weeks (21 rabbits per group) after an experimental Achilles tendon rupture. The following treatment modalities were compared: A) primary functional treatment; B) operative functional treatment (resorbable suture); and C) operative functi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300704

    authors: Thermann H,Frerichs O,Holch M,Biewener A

    更新日期:2002-07-01 00:00:00

  • Effect of arch supports on ankle-subtalar complex instability: a biomechanical experimental study.

    abstract:BACKGROUND:Subtalar instability, which may cause persistent symptoms after severe inversion ankle sprains, often involves failure of the interosseous talocalcaneal ligament (ITCL). While several clinicians have reported surgical treatment for this pathology, nonsurgical management policy has not been well considered. P...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302400811

    authors: Tochigi Y

    更新日期:2003-08-01 00:00:00

  • Fifth Metatarsal Jones Fractures in the Athlete.

    abstract::Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100717741856

    authors: Porter DA

    更新日期:2018-02-01 00:00:00

  • Autologous osteochondral grafting for talar cartilage defects.

    abstract::The purpose of this study was to evaluate the clinical results of Osteochondral Autograft Transfer System (OATS) for the treatment of symptomatic osteochondral defects of the talus using standardized outcome analysis. Nineteen patients with symptomatic osteochondral defect (OCD) of the talus were treated with autologo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300502

    authors: Al-Shaikh RA,Chou LB,Mann JA,Dreeben SM,Prieskorn D

    更新日期:2002-05-01 00:00:00

  • Gender Differences in Outcome After Modified Broström Procedure for Chronic Lateral Ankle Instability.

    abstract:BACKGROUND:The modified Broström procedure is commonly used for anatomic repair of chronic lateral ankle instability. However, no studies have compared outcomes of gender-based differences after the modified Broström procedure. We compared outcomes of the modified Broström procedure in men and women. METHODS:A total o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715603372

    authors: Xu HX,Choi MS,Kim MS,Park KS,Lee KB

    更新日期:2016-01-01 00:00:00

  • Calcaneal compartment syndrome after tibial fractures.

    abstract::Compartment syndrome of the newly discovered calcaneal compartment of the foot is a theoretical possibility following tibial fracture due to the communication with the deep posterior compartment of the calf. Forty-nine patients were reviewed at least 18 months after open or closed tibial shaft fractures treated with t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102200206

    authors: Bayer JH,Davies AP,Darrah C,Shepstone L,Patel AD

    更新日期:2001-02-01 00:00:00

  • Hallux valgus correction with metatarsal osteotomy: effect of a lateral distal soft tissue procedure.

    abstract::The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metata...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079501600305

    authors: Granberry WM,Hickey CH

    更新日期:1995-03-01 00:00:00

  • Changes in ankle range of motion and muscle strength in habitual wearers of high-heeled shoes.

    abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100712468562

    authors: Kim Y,Lim JM,Yoon B

    更新日期:2013-03-01 00:00:00

  • Risk Factors Associated With Foot and Ankle Insufficiency Fractures in Postmenopausal Sedentary Women.

    abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720969654

    authors: Pereira Filho MV,Stéfani KC,Ferreira GF,Nogueira MP

    更新日期:2020-11-17 00:00:00

  • Comparison of rates of union and hardware removal between large and small cannulated screws for calcaneal osteotomy.

    abstract:BACKGROUND:The calcaneal osteotomy is a common procedure to correct hindfoot malalignment. Reported union rates are high, utilizing fixation methods including staples, plates, and most commonly cannulated screws. We began our practice using 6.5 mm and 7.3 mm cannulated screws, but complaints of postoperative posterior ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714549191

    authors: Sayres SC,Gu Y,Kiernan S,DeSandis BA,Elliott AJ,O'Malley MJ

    更新日期:2015-01-01 00:00:00

  • Nonoperative treatment of fifth metatarsal fractures in an orthopaedic suburban private multispeciality practice.

    abstract:BACKGROUND:The purpose of this study was to review consecutive fifth metatarsal fractures in the author's (KFK) practice from August, 1999, to November, 2003. METHODS:During this period 64 patients (66 fractures; 35 tuberosity fractures, 10 Jones fractures, three stress fractures, two segmental shaft fractures and 16 ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600907

    authors: Konkel KF,Menger AG,Retzlaff SA

    更新日期:2005-09-01 00:00:00

  • Effect on Overall Health Status With Weightbearing at 2 Weeks vs 6 Weeks After Open Reduction and Internal Fixation of Ankle Fractures.

    abstract:BACKGROUND:Ongoing controversy exists on postoperative weightbearing status after open reduction and internal fixation of an ankle fracture. This prospective randomized controlled trial aimed to compare patient-based and physician-based outcomes after early weightbearing at 2 vs 6 weeks postoperatively. METHODS:Fifty ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720908853

    authors: Schubert J,Lambers KTA,Kimber C,Denk K,Cho M,Doornberg JN,Jaarsma RL

    更新日期:2020-06-01 00:00:00

  • The Role of 3D Reconstruction True-Volume Analysis in Osteochondral Lesions of the Talus: A Case Series.

    abstract:BACKGROUND:Evaluation and management of osteochondral lesions of the talus (OLTs) often warrant advanced imaging studies, especially in revision or cases with cystic defects. It is possible that orthopedic surgeons may overestimate the size and misinterpret the morphology of OLT from conventional computed tomography (C...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718771834

    authors: Walley KC,Gonzalez TA,Callahan R,Fairfull A,Roush E,Saloky KL,Juliano PJ,Lewis GS,Aynardi MC

    更新日期:2018-09-01 00:00:00

  • Arthroscopic treatment of osteochondral lesions of the distal tibia.

    abstract:BACKGROUND:Osteochondral lesions of the tibia are much less frequent than those of the talus, and treatment guidelines have not been established. We hypothesized that arthroscopic treatment methods used for osteochondral lesion of the talus would also be effective for those of the distal tibia. METHODS:A review of 880...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0865

    authors: Mologne TS,Ferkel RD

    更新日期:2007-08-01 00:00:00

  • Direct plantar approach to Henry's knot for flexor hallucis longus transfer.

    abstract:BACKGROUND:Transfer of the flexor hallucis longus (FHL) tendon is an established method to replace a dysfunctional Achilles tendon. When using a single incision, the FHL tendon has to be transferred as a single stranded graft into the calcaneus and the distal FHL stump cannot be directly attached to the flexor digitoru...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0007

    authors: Amlang M,Rosenow MC,Friedrich A,Zwipp H,Rammelt S

    更新日期:2012-01-01 00:00:00

  • Mechanical comparison of two types of fixation for proximal first metatarsal crescentic osteotomy.

    abstract:BACKGROUND:The proximal crescentic osteotomy is an effective technique for correcting a widened 1-2 intermetatarsal angle associated with moderate to severe hallux valgus deformities. However, postoperative dorsal malunion at the osteotomy site from loss of fixation has been reported. The purpose of this study was to e...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600505

    authors: Jones C,Coughlin M,Petersen W,Herbot M,Paletta J

    更新日期:2005-05-01 00:00:00

  • Relationship between tightness of the posterior muscles of the lower limb and plantar fasciitis.

    abstract:BACKGROUND:The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis. METHODS:A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated thr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100712459173

    authors: Bolívar YA,Munuera PV,Padillo JP

    更新日期:2013-01-01 00:00:00

  • Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid.

    abstract:BACKGROUND:The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. MATERIAL AND METHODS:We assigned 9 zones to the distal tibial plafond articular surface in an equal 3 x 3 grid ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.0524

    authors: Elias I,Raikin SM,Schweitzer ME,Besser MP,Morrison WB,Zoga AC

    更新日期:2009-06-01 00:00:00

  • Pes planus in patients with posterior tibial tendon insufficiency: asymptomatic versus symptomatic foot.

    abstract::Bilateral weightbearing anteroposterior and lateral radiographs were analyzed in 43 patients with a clinical diagnosis of posterior tibial tendon insufficiency by two independent observers. The radiographs of each patient's asymptomatic foot was considered to serve as the control for the preexistance of pes planus. Th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800208

    authors: Dyal CM,Feder J,Deland JT,Thompson FM

    更新日期:1997-02-01 00:00:00

  • Allograft Tendon Interposition Arthroplasty of the Hallux Metatarsophalangeal Joint: A Technique Guide and Literature Review.

    abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/1071100718807738

    authors: Watson TS,Panicco J,Parekh A

    更新日期:2019-01-01 00:00:00

  • Clinical tips: retrograde drilling of talar osteochondral defects.

    abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.0616

    authors: Kennedy JG,Suero EM,O'Loughlin PF,Brief A,Bohne WH

    更新日期:2008-06-01 00:00:00

  • Percutaneous lateral ligament reconstruction with allograft for chronic lateral ankle instability.

    abstract:BACKGROUND:The majority of lateral ankle instability can be treated successfully with conservative method. However, if such treatments fail, surgical treatment should be considered. A wide variety of procedures have been introduced to treat chronic lateral ankle instability. The percutaneous method avoids dissection wh...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0099

    authors: Youn H,Kim YS,Lee J,Choi WJ,Lee JW

    更新日期:2012-02-01 00:00:00

  • Monitoring recovery following syndesmosis sprain: a case report.

    abstract::A sprain to the tibial-fibular syndesmosis often results in prolonged rehabilitation or surgical intervention before recovery occurs. This paper documents gait recovery both before and after surgery for a syndesmosis sprain. Ground reaction force (GRF) data were available before injury and before surgery. Data were al...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079501601014

    authors: Spaulding SJ

    更新日期:1995-10-01 00:00:00

  • Knot of Henry Variation and the Effect on Plantar Flexion Strength.

    abstract:BACKGROUND:The flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons are commonly used for tendon transfer in reconstructive foot and ankle procedures. Some patients experience great toe weakness and loss of push-off strength. The objective of this biomechanical study was to quantify plantarflexion for...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719875229

    authors: Thomas D,Thordarson D,Nelson TJ,Charlton TP,Eberlein S,Metzger MF

    更新日期:2020-01-01 00:00:00

  • Vascularized pedicle bone grafting for nonunions of the tarsal navicular.

    abstract:BACKGROUND:Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to determine the early clinical and radiographic outcomes of this techniq...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0734

    authors: Fishman FG,Adams SB,Easley ME,Nunley JA 2nd

    更新日期:2012-09-01 00:00:00

  • Etiology and Treatment Outcomes for Sural Neuroma.

    abstract:BACKGROUND:Neuroma results from disorganized regeneration following nerve injury and may be symptomatic. The aim of this study was to investigate the causes, treatment, and outcomes of operatively treated sural neuromas, and to describe the factors associated with persistent or unchanged postoperative pain symptoms. M...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719828375

    authors: Lans J,Gamo L,DiGiovanni CW,Chen NC,Eberlin KR

    更新日期:2019-05-01 00:00:00

  • Posterior tibial tendon tears in young competitive athletes: two case reports.

    abstract::Unlike the Achilles tendon, the posterior tibial tendon does not typically undergo acute rupture. We report two cases of posterior tibial tendon tears occurring in young, athletic individuals (<30 years old) that required operative intervention before the patients could return to competitive sports. We believe that th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/107110079801900911

    authors: Porter DA,Baxter DE,Clanton TO,Klootwyk TE

    更新日期:1998-09-01 00:00:00