The interposition of extensor digitorum brevis in the resection of calcaneonavicular bars.
In this series of 19 resected calcaneonavicular bars for peroneal spastic flatfoot (mean follow-up 3.4 years), we demonstrate that interposition of extensor digitorum brevis led to asymptomatic mobile feet without evidence of recurrence of the bar in 90% of the patients; this compares well with 43% recurrence rates of bars with associated pain and stiffness when extensor digitorum brevis is not interposed. We therefore recommend this method for prevention of the bar and their symptoms.
Moyes
S T
ST
Westminster Children's Hospital, London, England.
Crawfurd
E J
EJ
Aichroth
P M
PM
D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005413:Flatfoot / Q000601:surgery*; D006801:Humans; D011859:Radiography; D012008:Recurrence; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*