Functional Results of Posterior Tibial Tendon Reconstruction, Calcaneal Ostetomy, and Gastrocnemius Recession

2012 ◽  
Vol 33 (7) ◽  
pp. 602-611 ◽  
Author(s):  
Joseph X. Kou ◽  
Mamtha Balasubramaniam ◽  
Matthew Kippe ◽  
Paul T. Fortin
Keyword(s):  
Functional Results ◽  
Posterior Tibial Tendon ◽  
Tendon Reconstruction ◽  
Posterior Tibial ◽  
Gastrocnemius Recession

Use of the ROC anchor in foot and ankle surgery. A retrospective study

1999 ◽  
Vol 89 (5) ◽  
pp. 247-250 ◽  
Author(s):  
GT Kuwada
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Drill Hole ◽  
Posterior Tibial Tendon ◽  
Foot And Ankle ◽  
Success Rates ◽  
Tendon Reconstruction ◽  
Posterior Tibial ◽  
Drill Bits ◽  
Ankle Surgery

A retrospective study was conducted on the use of the ROC (Radial Osteo Compression) soft-tissue anchor in foot and ankle surgery. This article describes how the anchor is deployed, problematic aspects of using the anchor, and complications and success rates associated with the anchor in ankle stabilizations, posterior tibial tendon reconstruction, peroneus brevis tendon reconstruction after fracture of the base of the fifth metatarsal, and detachment and reattachment of the Achilles tendon. The ROC anchor consists of the anchor with nonabsorbable suture attached to the shaft, the deployment handle, and drill bits. The anchor and shaft are snapped into the deployment handle and inserted into the drill hole. Compression of the trigger deploys the anchor into the hole. The ROC anchor was found to be reliable, useful, and relatively easy to deploy, with outcomes similar to those of other soft-tissue anchors.

Anatomy of Second Muscular Layer of the Foot: Considerations for Tendon Selection in Transfer for Achilles and Posterior Tibial Tendon Reconstruction

1994 ◽  
Vol 15 (8) ◽  
pp. 420-423 ◽  
Author(s):  
Keith L. Wapner ◽  
Paul J. Hecht ◽  
John R. Shea ◽  
Thomas J. Allardyce
Keyword(s):  
Achilles Tendon ◽  
Relative Strength ◽  
Flexor Hallucis Longus ◽  
Posterior Tibial Tendon ◽  
En Bloc ◽  
Muscular Layer ◽  
Tendon Reconstruction ◽  
Posterior Tibial ◽  
Flexor Digitorum ◽  
Achilles Tendon Reconstruction

Controversy exists regarding tendon choice to substitute for a ruptured posterior tibial tendon. A similar debate about late Achilles tendon reconstruction also persists. To establish priorities and aid the surgeon's decision-making process, we studied 85 en bloc dissections of the second muscular layer of the sole. Muscular and tendinous interconnections were evaluated. Location and minimal donor deficit following harvest of the flexor digitorum longus make it the transfer of choice for posterior tibial tendon reconstruction. We suggest that relative strength, anatomic location, and available length of tendon make the flexor hallucis longus the superior choice for late Achilles tendon reconstruction.

Shell Brace for Stage II Posterior Tibial Tendon Insufficiency

2008 ◽  
Vol 29 (11) ◽  
pp. 1095-1100 ◽  
Author(s):  
Fabian Krause ◽  
Adrian Bosshard ◽  
Oliver Lehmann ◽  
Martin Weber
Keyword(s):  
Case Series ◽  
Functional Results ◽  
Nonoperative Treatment ◽  
Stage Ii ◽  
Stage Iii ◽  
Patient Acceptance ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Prospective Case Series ◽  
The Impact

Background: The nonoperative treatment of posterior tibial tendon insufficiency (PTTI) can lead to unsatisfactory functional results. Short-term results are available but the impact on the evolution of the deformity is not known. To address these problems, a new brace for the flexible Stage II deformity was developed, and midterm followup was obtained. Materials and Method: In a prospective case series, eighteen patients (mean age 64.2 years; range, 31 to 82; four male, 14 female) with flexible Stage II PTTI were fitted with the new custom-molded foot orthosis. At latest followup of a mean of 61.4 (range, 20 to 87) months, functional results were assessed with the AOFAS ankle hindfoot score and clinical or radiographic progression was recorded. Results: The score improved significantly from a mean of 56 points (range, 20 to 64) to a mean of 82 points (range, 64 to 100, p < 0.001). Three patients (3/18, 16%) had a clinical progression to a fixed deformity (Stage III) and a radiographic increase of their deformity. All the other patients were satisfied with the brace's comfort and noted an improvement in their mobility. Complications were seen in three patients (3/18, 16%), and consisted of the development of calluses. Conclusion: The “shell brace” is a valuable option for nonoperative treatment of the flexible Stage II PTTI. Hindfoot flexibility was conserved throughout the observation period in all but three patients. Functional outcome and patient acceptance was above average. Problems were few, and closely associated with a progression to a fixed, Stage III deformity. Level of Evidence: II, Prospective Case Series

scholarly journals Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

2021 ◽  
Author(s):  
Miguel Estuardo Rodríguez-Argueta ◽  
Carlos Suarez-Ahedo ◽  
César Alejandro Jiménez-Aroche ◽  
Irene Rodríguez-Santamaria ◽  
Francisco Javier Pérez-Jiménez ◽  
...  
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Common Peroneal Nerve ◽  
Posterior Tibial Tendon ◽  
Drop Foot ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Peroneal Nerve Injury ◽  
Improve Reliability
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