Pes planus after tibial osteotomy.
When 100 patients who had had a high tibial osteotomy for monocompartmental arthritis were reviewed, 15 were found to have evidence of neurological impairment. A severe symptomatic pes planus deformity of the ipsilateral limb had developed in 4 patients within months of surgery. Electromyographic results showed evidence of dysfunction in the territory of the posterior tibial nerve in all 4 patients, and, in 3 there was evidence of deep peroneal nerve damage. All had surgery for varus malalignment.
McLaren
C A
CA
Department of Orthopaedic and Traumatic Surgery, Royal Infirmary, Dundee, Scotland.
Wootton
J R
JR
Heath
P D
PD
Jones
C H
CH
D000843:Ankle Joint / Q000601:surgery; D001168:Arthritis / Q000601:surgery; D005413:Flatfoot / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects*; D013977:Tibia / Q000601:surgery*