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














  • Outcome of Joint-Preserving Arthroplasty for Rheumatoid Forefoot Deformities.

    abstract:BACKGROUND:Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not be...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Fukushi J,Nakashima Y,Okazaki K,Yamada H,Mawatari T,Ohishi M,Oyamada A,Akasaki Y,Iwamoto Y

    更新日期:2016-03-01 00:00:00

  • Staged treatment of high energy midfoot fracture dislocations.

    abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Kadow TR,Siska PA,Evans AR,Sands SS,Tarkin IS

    更新日期:2014-12-01 00:00:00

  • Prevalence of Metatarsus Adductus in Symptomatic Hallux Valgus and Its Influence on Functional Outcome.

    abstract:BACKGROUND:Metatarsus adductus (MA) increases the risk of developing symptomatic hallux valgus (HV). This study aimed to determine the prevalence of MA in patients with symptomatic HV and to evaluate how it affected the functional outcome after scarf osteotomy. METHODS:Between January 2007 and June 2012, a total of 20...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Loh B,Chen JY,Yew AK,Chong HC,Yeo MG,Tao P,Yeo NE,Koo K,Rikhraj Singh I

    更新日期:2015-11-01 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


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

    更新日期:2019-05-01 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

  • Defining flatfoot.

    abstract::Pes planus is a term frequently used in describing flatfoot; however, no study has objectively defined flatfoot. We evaluated the single leg stance footprint of 40 feet in 21 people with no history of foot problems, using pressure-sensitive film and a Harris mat. The medial and lateral aspects of the forefoot, midfoot...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Tareco JM,Miller NH,MacWilliams BA,Michelson JD

    更新日期:1999-07-01 00:00:00

  • Treatment of os calcis fractures by open reduction and internal fixation.

    abstract::Over a 3-year period, 47 displaced intra-articular fractures of the os calcis in 43 patients underwent open reduction and internal fixation. A significant feature of this series is that computed tomography was used to assess all fractures both before and after surgery. Seventy-seven percent demonstrated a consistent f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Hutchinson F 3rd,Huebner MK

    更新日期:1994-05-01 00:00:00

  • Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review.

    abstract:BACKGROUND:There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). This systematic review summarizes the evidence on return to sports and activity after operative management with either TAR or AA for ankle osteoarthritis (OA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Johns WL,Sowers CB,Walley KC,Ross D,Thordarson DB,Jackson JB,Gonzalez TA

    更新日期:2020-08-01 00:00:00

  • Prospective CT scan evaluation of hindfoot nonunions treated with revision surgery and low-intensity ultrasound stimulation.

    abstract:BACKGROUND:The reported fusion rates of revision arthrodesis for hindfoot nonunions are relatively low compared to primary procedures. Exogenous ultrasound has been shown to accelerate the healing process of acute fractures and fracture nonunions but has not been previously evaluated for the treatment of hindfoot pseud...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Jones CP,Coughlin MJ,Shurnas PS

    更新日期:2006-04-01 00:00:00

  • A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle.

    abstract::The "squeeze test" is a clinical test for detecting "stable" syndesmosis injuries. The test is positive when proximal compression of the calf produces pain in the area of the distal tibiofibular and interosseous ligaments. The purpose of this study was to examine what fibular movement, if any, occurs at the level of t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Teitz CC,Harrington RM

    更新日期:1998-07-01 00:00:00

  • Optical plantar pressure analysis following internal fixation for displaced intra-articular os calcis fractures.

    abstract::Using optical pedobarography, the outcome of open reduction and internal fixation of displaced os calcis fractures was assessed. In 12 patients, well reconstructed heel contact widths and no reduction in heel-ground contact times were found. In conjunction with this, patients showed lateral deviation of the plantar pr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Davies MB,Betts RP,Scott IR

    更新日期:2003-11-01 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


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

    更新日期:2016-01-01 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


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

    更新日期:2008-06-01 00:00:00

  • Biomechanical Comparison of an Open vs Arthroscopic Approach for Lateral Ankle Instability.

    abstract:BACKGROUND:The current clinical standard for the surgical treatment of ankle instability remains the open modified Broström procedure. Modern advents in arthroscopic technology have allowed physicians to perform certain foot and ankle procedures arthroscopically as opposed to traditional open approaches. METHODS:Twent...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Drakos MC,Behrens SB,Paller D,Murphy C,DiGiovanni CW

    更新日期:2014-08-01 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

  • High Variability of Observed Weight Bearing During Standing Foot and Ankle Radiographs.

    abstract:BACKGROUND:Weight-bearing radiographs are a critical component of evaluating foot and ankle pathology. An underlying assumption is that patients are placing 50% of their body weight on the affected foot during image acquisition. The accuracy of weight bearing during radiographs is unknown and, presumably, variable, whi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Miller CP,Ghorbanhoseini M,Ehrlichman LK,Walley KC,Ghaheri A,Kwon JY

    更新日期:2017-06-01 00:00:00

  • Safe Zone for the Plantar Portal: A Cadaveric Study.

    abstract:BACKGROUND:Understanding the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the lateral aspect and soles of cadaveric feet to investigate the safety of peroneus longus tendoscopy with a plantar lateral portal and the safe zones for plantar portals. METHODS:We...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Maeda S,Niki H,Hirano T,Akiyama Y

    更新日期:2016-02-01 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

  • Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail: a multicenter study.

    abstract:BACKGROUND:Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,多中心研究


    authors: Rammelt S,Pyrc J,Agren PH,Hartsock LA,Cronier P,Friscia DA,Hansen ST,Schaser K,Ljungqvist J,Sands AK

    更新日期:2013-09-01 00:00:00

  • Surgical strategies: lateral ligament reconstruction as part of the management of varus ankle deformity with ankle replacement.

    abstract::Improved designs and surgical technique has led to much better mid-term and longer term outcomes than the first generation ankle replacements of the 1970's. However, there remains multiple recent papers discussing the many potential complications with total ankle replacement surgery. As we proceed into the future, one...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Coetzee JC

    更新日期:2010-03-01 00:00:00

  • Endoscopic plantar fascia release.

    abstract:BACKGROUND:Endoscopic release of the plantar fascia is becoming an increasingly popular alternative to open procedures for the treatment of chronic plantar fasciitis. Although most patients can be successfully treated with Achilles tendon stretching, orthoses, physical therapy and corticosteroid injections, a small per...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Hogan KA,Webb D,Shereff M

    更新日期:2004-12-01 00:00:00

  • Biomechanical Comparison of Low-Profile Contoured Locking Plate With Single Compression Screw to Fully Threaded Compression Screws for First MTP Fusion.

    abstract:BACKGROUND:Open metatarsophalangeal (MTP) arthrodesis using locked plates produces good clinical outcomes. However, arthroscopic fusion with new-generation fully threaded compression screws is emerging as an alternative. The purpose of this study was to compare low-profile contoured locked plates with fully threaded co...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Fuld RS 3rd,Kumparatana P,Kelley J,Anderson N,Baldini T,Younger ASE,Hunt KJ

    更新日期:2019-07-01 00:00:00

  • Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe.

    abstract::Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Needleman RL

    更新日期:1997-07-01 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

  • Effect of foot and ankle position on tarsal tunnel compartment volume.

    abstract:BACKGROUND:Tarsal tunnel pressure is increased when the foot and ankle are positioned in eversion or inversion from neutral, aggravating symptoms of tarsal tunnel syndrome in some patients. Space-occupying lesions may cause tarsal tunnel syndrome. We hypothesized that positional change of the foot and ankle from neutra...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Bracilovic A,Nihal A,Houston VL,Beattie AC,Rosenberg ZS,Trepman E

    更新日期:2006-06-01 00:00:00

  • Assessing accuracy of sustentaculum screw placement during calcaneal fixation.

    abstract:BACKGROUND:The aim of this study was to determine the ability of the Harris heel view to confirm placement of the sustentacular screw during calcaneal fixation. METHODS:A 4.0 cancellous screw was placed in a cadaveric specimen, from lateral to medial in 5 configurations: (1) within the sustentaculum, (2) misdirected i...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Gitajn IL,Toussaint RJ,Kwon JY

    更新日期:2013-02-01 00:00:00

  • Clinical results following revision tibial nerve release.

    abstract::The results following revision tarsal tunnel release in 12 patients (13 feet), including three men and nine women aged 28 to 66 years, are presented. The indication for surgery was incapacitating focal pain, associated with paresthesias and hyperesthesias, refractory to nonoperative treatment modalities. Electrodiagno...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Skalley TC,Schon LC,Hinton RY,Myerson MS

    更新日期:1994-07-01 00:00:00

  • Functional evaluation of the Scandinavian Total Ankle Replacement.

    abstract::The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR). Nine patients (six males and three females) with an average age of 65 years, scheduled for unilateral total ankle replacement for osteoarthritis and rheumatoid arthriti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章


    authors: Dyrby C,Chou LB,Andriacchi TP,Mann RA

    更新日期:2004-06-01 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

  • Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus.

    abstract:BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch techniq...

    journal_title:Foot & ankle international

    pub_type: 杂志文章


    authors: Iannò B,Familiari F,De Gori M,Galasso O,Ranuccio F,Gasparini G

    更新日期:2013-07-01 00:00:00