Functional outcome after surgical reconstruction of posterior tibial tendon insufficiency in patients under 50 years.


BACKGROUND:Procedures utilized to address the flatfoot in this study included medializing calcaneal osteotomy, posterior tibial tendon reconstruction with flexor digitorum longus tendon transfer, and in patients with more severe deformity, lateral column lengthening. We evaluated patients age 50 and less at the time of surgery, who underwent surgical reconstruction for Stage 2 posterior tibial tendon dysfunction. Pre- and postoperative activity levels were evaluated to assess the effect of surgical reconstruction in the younger patient. MATERIALS AND METHOD:Thirty-four feet in 30 patients (11 male, 19 female) with an average age of 41.2 (range, 17 to 50) years had surgery between 1997 and 2004. All feet were examined at an average followup of 44.5 (range, 24 to 65) months and were evaluated with the American-Orthopaedic-Foot and Ankle Society (AOFAS) Hindfoot-Score and SF-36 score. RESULTS:The average preoperative AOFAS-Score was 53.1 +/- 14.5 points and 83.2 +/- 12.2 points at final postoperative followup. The mean improvement was 29.5. The difference between the preoperative and postoperative AOFAS score was significant (p < 0.0001) using a two-tailed t-test. The difference in the AOFAS pain and alignment subscales was also significant (p < 0.0001). The function subscale improvement was also significant (p = 0.018). The mean physical function component of the postoperative SF-36 score was 79.2. A correlation was found between the SF-36 physical component score and the post operative AOFAS score (r(2) = 0.754). CONCLUSION:While some lateral discomfort or pain occurred in patients with or without a lateral column lengthening, the posterior tibial tendon reconstruction utilizing medial calcaneal displacement osteotomy with flexor digitorum longus transfer and a lateral column lengthening with more deformity was successful in the higher-functioning, younger patients.


Foot Ankle Int


Tellisi N,Lobo M,O'Malley M,Kennedy JG,Elliott AJ,Deland JT




Has Abstract


2008-12-01 00:00:00














  • Salvage of avascular necrosis of the talus by combined ankle and hindfoot arthrodesis without structural bone graft.

    abstract:BACKGROUND:Osteonecrosis of the talus is a well-recognized pathology, which can result in significant hindfoot collapse resulting in poor function and pain. Treatment with intramedullary tibiotalocalcaneal arthrodesis (IMTCA) using a retrograde intramedullary nail is widely utilized for severe concomitant tibiotalar an...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Tenenbaum S,Stockton KG,Bariteau JT,Brodsky JW

    更新日期:2015-03-01 00:00:00

  • Prospective, randomized, blinded, comparative study of injectable micronized dehydrated amniotic/chorionic membrane allograft for plantar fasciitis--a feasibility study.

    abstract:BACKGROUND:Specialized treatment of plantar fasciitis that can reduce inflammation and promote healing may be a possible alternative prior to surgical intervention. We report the results of a randomized clinical trial examining the efficacy of micronized dehydrated human amniotic/chorionic membrane (mDHACM) injection a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验


    authors: Zelen CM,Poka A,Andrews J

    更新日期:2013-10-01 00:00:00

  • Simultaneous strain measurement with determination of a zero strain reference for the medial and lateral ligaments of the ankle.

    abstract::The strain changes of the central part of the anterior talofibular ligament (ATFL), the posterior talofibular ligament (PTFL), the calcaneofibular ligament (CFL), and the tibiocalcaneal ligament (TCL) were measured simultaneously for a full range of ankle motion. Twelve fresh frozen amputated ankles were used. To meas...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Ozeki S,Yasuda K,Kaneda K,Yamakoshi K,Yamanoi T

    更新日期:2002-09-01 00:00:00

  • Forefoot Reconstruction Following Metatarsal Head Resection Arthroplasty With a Plantar Approach-A 20-Year Follow-Up.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Simon MJK,Strahl A,Mussawy H,Rolvien T,Schumacher RF,Seller M,Rüther W

    更新日期:2019-07-01 00:00:00

  • Suture-button versus screw fixation in a syndesmosis rupture model: a biomechanical comparison.

    abstract:BACKGROUND:Flexible suture-button devices are used to stabilize the distal tibiofibular joint after syndesmotic rupture, but little is known about how they affect fibular motion during cyclic physiological loading. This study examined how much fibular motion occurs during cyclic loading of ankles repaired with suture-b...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Soin SP,Knight TA,Dinah AF,Mears SC,Swierstra BA,Belkoff SM

    更新日期:2009-04-01 00:00:00

  • Long-term follow-up of mobile bearing total ankle arthroplasty in the United States.

    abstract:BACKGROUND:The published long-term follow-up of modern total ankle arthroplasty is limited. We report results after a minimum of 10-year follow-up in a cohort of patients who underwent the Scandinavian Total Ankle Replacement (STAR™) in the United States. METHODS:Between 1998 and 2003, 18 patients underwent total ankl...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Jastifer JR,Coughlin MJ

    更新日期:2015-02-01 00:00:00

  • Effect of Ankle Position on Tibiotalar Motion With Screw Fixation of the Distal Tibiofibular Syndesmosis in a Fracture Model.

    abstract:BACKGROUND:Anatomic reduction and fixation of the syndesmosis in traumatic injuries is paramount in restoring function of the tibiotalar joint. While overcompression is a potential error, recent work has called into question whether ankle position during fixation really matters in this regard. Our study aimed to corrob...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Pallis MP,Pressman DN,Heida K,Nicholson T,Ishikawa S

    更新日期:2018-06-01 00:00:00

  • Intermediate follow-up on the double osteotomy and tendon transfer procedure for stage II posterior tibial tendon insufficiency.

    abstract::26 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Moseir-LaClair S,Pomeroy G,Manoli A 2nd

    更新日期:2001-04-01 00:00:00

  • First metatarsal length change after basilar closing wedge osteotomy for hallux valgus.

    abstract:BACKGROUND:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evalua...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Day T,Charlton TP,Thordarson DB

    更新日期:2011-05-01 00:00:00

  • Comparison of radiographic and anatomic distal metatarsal articular angle in cadaver feet.

    abstract:BACKGROUND:A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how the DMAA correlates with the hallux valgus angle (HVA) and with anatomic and clinical radiographic measurements. METHODS:We dissected, measured...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Jastifer JR,Coughlin MJ,Schutt S,Hirose C,Kennedy M,Grebing B,Smith B,Cooper T,Golano P,Viladot R,Doty JF

    更新日期:2014-04-01 00:00:00

  • Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

    abstract:BACKGROUND::The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to TAA. We aimed to identify whether tibial and talar HU measured f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Cody EA,Lachman JR,Gausden EB,Nunley JA 2nd,Easley ME

    更新日期:2019-01-01 00:00:00

  • Topography of the distal tibial nerve and its branches.

    abstract::The tibial nerve trunk and its branches were dissected in 20 embalmed cadaver legs and the relative topographic anatomy was defined at 3-cm intervals up to 15 cm proximal to the medial malleolar-calcaneal (MMC) axis. Each nerve branch was found in various locations. The calcaneal nerve was found to descend from medial...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Lumsden DB,Schon LC,Easley ME,Duouguih WA,Anderson CD,Miller SD,Ottey DK

    更新日期:2003-09-01 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


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

    更新日期:2012-01-01 00:00:00

  • Arthroscopic ankle arthrodesis.

    abstract:BACKGROUND:Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. METHODS:The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, we...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Gougoulias NE,Agathangelidis FG,Parsons SW

    更新日期:2007-06-01 00:00:00

  • Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

    abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Heidari N,Charalambous A,Kwok I,Vris A,Li Y

    更新日期:2019-07-01 00:00:00

  • Radiological Evaluation of a Preoperative First Metatarsal Realignment Test for Metatarsus Primus Varus and Hallux Valgus Correction by the Syndesmosis Procedure.

    abstract:BACKGROUND:Metatarsus primus varus correction is one of the primary surgical objectives for hallux valgus correction. Some soft tissue procedures have shown that the first metatarsal can be adequately realigned without osteotomy. The hypothesis of this study was that this correctability should also be demonstrable preo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Wu DY,Lam EKF

    更新日期:2020-03-01 00:00:00

  • Walking pattern of midfoot and ankle disarticulation amputees.

    abstract::Measurements of the vertical component of ground reaction force (ORF) and dynamic center of pressure (COP) were recorded for five subjects with midfoot level amputations and six with Syme's ankle disarticulation amputations. All of the subjects underwent amputation surgery as a consequence of peripheral vascular disea...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Pinzur MS,Wolf B,Havey RM

    更新日期:1997-10-01 00:00:00

  • Treatment of superficial and deep peroneal neuromas by resection and translocation of the nerves into the anterolateral compartment.

    abstract::An approach to the treatment of dorsal foot pain of neuroma origin is described based upon principals demonstrated to be effective in the treatment of upper extremity dorsoradial neuromas: translocation of the appropriate nerves into a muscle environment away from the joint. In the lower extremity, this requires ident...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Dellon AL,Aszmann OC

    更新日期:1998-05-01 00:00:00

  • 3D Talar Kinematics During External Rotation Stress Testing in Hindfoot Varus and Valgus Using a Model of Syndesmotic and Deep Deltoid Instability.

    abstract:BACKGROUND:External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting from syndesmotic and/or deltoid ligament disruption. The goal of th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Goetz JE,Vasseenon T,Tochigi Y,Amendola A,Femino JE

    更新日期:2019-07-01 00:00:00

  • Epidemiology, management, and outcome of sport-related ankle fractures in a standard UK population.

    abstract:BACKGROUND:The literature on the outcome of sport-related ankle fractures has focused on operatively managed fractures, despite a large proportion being treated nonoperatively. We describe the epidemiology, management, and outcome of acute sport-related ankle fractures in a UK population. METHODS:All sport-related ank...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Robertson GA,Wood AM,Aitken SA,Court Brown C

    更新日期:2014-11-01 00:00:00

  • Squamous cell carcinoma arising in chronic osteomyelitis in foot and ankle.

    abstract:BACKGROUND:Squamous cell carcinoma arising from chronic osteomyelitis is uncommon, and although most occur in the lower extremities, occurrence in the foot and ankle is rare. METHODS:Between February, 1991, and May, 2003, we treated 14 patients (13 men and one woman) with squamous cell carcinomas arising in chronic os...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审


    authors: Altay M,Arikan M,Yildiz Y,Saglik Y

    更新日期:2004-11-01 00:00:00

  • Influence of Surgeon Volume on Inpatient Complications, Cost, and Length of Stay Following Total Ankle Arthroplasty.

    abstract:BACKGROUND:Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS:A retrospective cohort study of TAA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Basques BA,Bitterman A,Campbell KJ,Haughom BD,Lin J,Lee S

    更新日期:2016-10-01 00:00:00

  • Radiographic Outcomes of Mobile-Bearing Total Ankle Arthroplasty for Patients With Rheumatoid Arthritis.

    abstract:BACKGROUND:Ankle disorders in patients with rheumatoid arthritis (RA) reduce their quality of life and activities of daily living. The aim of this study was to evaluate the midterm clinical and radiographic outcomes of TAA in patients with RA. METHODS:This retrospective study included patients with a minimum follow-up...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Yano K,Ikari K,Okazaki K

    更新日期:2019-09-01 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


    authors: Porter DA

    更新日期:2018-02-01 00:00:00

  • Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures.

    abstract:BACKGROUND:Interfragmentary lag screws, protected by a plate, have been applied for many years in the treatment of supination-external rotation (SER) ankle fractures. Recently, similar biomechanical stability was found between fixation completed with a plate and lag screw and a plate alone. The aim of this study was to...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Park YH,Cho HW,Choi GW,Kim HJ

    更新日期:2020-07-01 00:00:00

  • Bilateral simultaneous fasciotomy for chronic exertional compartment syndrome.

    abstract:BACKGROUND:Chronic exertional compartment syndrome (CECS) occurs bilaterally in approximately 60% of patients. Fasciotomy is the primary corrective treatment. We hypothesized that bilateral fasciotomy can be done during the same operative procedure with early return to sports and low complication rates METHOD:Sixteen ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Raikin SM,Rapuri VR,Vitanzo P

    更新日期:2005-12-01 00:00:00

  • Initial hospital-related cost comparison of total ankle replacement and ankle fusion with hip and knee joint replacement.

    abstract:BACKGROUND:Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Younger AS,MacLean S,Daniels TR,Penner MJ,Wing KJ,Dunbar M,Glazebrook M

    更新日期:2015-03-01 00:00:00

  • Gradual Metatarsal Lengthening by External Fixation: A New Classification of Complications and a Stable Technique to Minimize Severe Complications.

    abstract:BACKGROUND:The surgical management of brachymetatarsia remains controversial, and choice is based on potential complications. We report a classification of complications based on severity, and we hypothesized that use of a semicircular external fixator would minimize severe complications in lateral metatarsal lengtheni...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Barbier D,Neretin A,Journeau P,Popkov D

    更新日期:2015-11-01 00:00:00

  • Comparison of MRI and local anesthetic tendon sheath injection in the diagnosis of posterior tibial tendon tenosynovitis.

    abstract:BACKGROUND:The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Cooper AJ,Mizel MS,Patel PD,Steinmetz ND,Clifford PD

    更新日期:2007-11-01 00:00:00

  • Isolated avulsion fracture at the plantar lateral base of the first metatarsal: a case report.

    abstract::We present a case of isolated avulsion fracture at the plantar lateral base of the first metatarsal without injuries of the tarsometatarsal joint. Few case reports can be found in the literature and it has been reported only as a part of the tarsometatarsal joint injuries. The basis for the diagnosis is discussed, as ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审


    authors: Kwak HY,Bae SW

    更新日期:2000-10-01 00:00:00