Subtalar Arthroeresis in Posterior Tibial Tendon Dysfunction



Cite item

Full Text

Abstract

The purpose of the study was to evaluate the efficacy of subtalar arthroeresis for II stage tibial tendon dysfunction by Johnson and Storm classification. From November 2007 to August 2009, 18 patients with that pathology were operated on. After implantation of Kalix® II endorthesis the plasty of posterior tibial tendon was performed. The results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) scores system. After treatment average estimate by AOFAS increased from 47.2 before operation to 79.0 after surgery, pain index from 16.3 to 30.0, foot function from 28.7 to 41.6, foot position from 2.6 to 8.4. According to X-ray data the longitudinal arch angle decreased by 14.3° at an average and talar-calcaneal angle by 8°. Study results showed that technique of subtalar arthrodesis was effective enough for correction of flat foot resulted from II stage posterior tibial tendon dysfunction. Combination of that technique with tendon plasty ensured the full-value reconstruction of the foot.

References

  1. Chambers E.F. An operation for the correction of flexible flat feet of adolescents //West J. Surg. Obstet. Gynecol. - 1946. - Vol. 54.
  2. Crates J.M., Richardson E.G. Treatment of stage I posterior tibial tendon dysfunction with medial soft tissue procedures //Clin. Orthop. - 1999. - N 365. - P. 46-49.
  3. Fortin P.T., Wailing A.K. Triple arthrodesis //Clin. Orthop. - 1999. - N 365. - P. 91-99.
  4. Giannini S., Girolami M., Ceccarrelli F. The surgical treatment of infantile flatfoot. A new expanding endo-orthotic implant //Ital. J. Orthop. Trauma. - 1985. - Vol. 11, N 3. - P. 315-322.
  5. Grice D.S. An extra-articular arthrodesis of sub-astragalar joint for correction of paralytic feet in children //J. Bone Jt Surg. - 1952. - Vol. 34A. - P. 927-932.
  6. Harper M.G. Talonavicular arthrodesis for the acquired flatfoot in the adult. //Clin. Orthoped. - 1999. - N 365. - P. 65-68.
  7. Johnson K.A., Strom D.E. Tibialis posterior tendon dysfunction //Clin. Orthop. -1989. - N. 239. - P. 196-206.
  8. Kitaoka H.B., Alexander I.J., Adelaar R.S. el al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes //Foot Ankle. - 1994. - Vol. 15. - P. 349-353.
  9. Lundeen R. The Smith STA-peg operation for hypermoble pes planovalgus in children //JAPMA. - 1985. - Vol. 75. - P. 177-180.
  10. Mann R.A., Thompson F.M. Rupture of the posterior tibial tendon causing flatfoot. Surgical treatment //J. Bone Jt Surg. - 1985. - Vol. 67A. - P. 556-561.
  11. Myerson M.S. Instructional course lectures, The American Academy of Orthopaedic Surgeons. Adult acquired flat foot deformity. Treatment of dysfunction of the posterior tibial tendon //J. Bone Jt Surg. - 1996. - Vol. 78A. - P. 780-792.
  12. Smith S. The STA-peg operation: a new surgical approach for the pronated foot in childhood //North. Symp. - Tucker, Podiatry Institute, 1975.
  13. Smith P.A., Millar E.A. STA-peg arthroereisis for treatment of the planovalgus foot in cerebral palsy //Clin. Pod. Med. Surg. - 2000. - Vol. 17, N 3. - P. 459-469.
  14. Stephens H.M., Walling A.K., Solmen J.D., Tankson C.J. Subtalar repositbna! arthrodesis for adult acquired flatfoot //Clin. Orthop. - 1999. - N 365. - P. 69-73.
  15. Subotnick S.I. The subtalar joint lateral extra-articular arthroereisis: a preliminary report //J. Am. Podiatry Ass. - 1974. - N 64. - P. 701-709.
  16. Pomeroy G., Pike R., Seals T., Manoli A. II. Adquired flatfoot in adults due to dysfunction of the posterior tibial tendon //J. Bone Jt Surg. - 1999. - Vol. 81A. - P. 1173-1182.
  17. Vogler H. Subtalar joint blocking operations for pathological pronation syndromes //Comprehensive textbook of foot surgery / Ed. McGlamry. - Baltimore, 1987. - P. 466-482.
  18. Wapner K.L., Chao W. Neooperative treatment of posterior tibial tendon dysfunction //Clin. Orthop. - 1999. - N 365. - P. 39-45.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2011 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-76249 от 19.07.2019.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies