Medial sliding calcaneal osteotomy with flexor hallucis longus transfer for the treatment of posterior tibial tendon insufficiency.
Medial sliding calcaneal osteotomy is a simple bone procedure to augment tendon transfer in treatment of stage 2 posterior tibial tendon dysfunction. This osteotomy moves the valgus heel under the weight-bearing axis of the leg, shifts the Achilles' insertion medially, and decreases strain on the spring ligament and deltoid ligaments. The osteotomy heals within 6 weeks. Consistently reproducible good-to-excellent results have been achieved using medial sliding calcaneal osteotomy in conjunction with FHL transfer.
Hockenbury
R T
RT
Department of Orthopaedic Surgery, University of Louisville, Kentucky, USA. Toddhockenbury@aol.com
Sammarco
G J
GJ
D002111:Calcaneus / Q000601:surgery*; D003131:Combined Modality Therapy; D005528:Foot; D006801:Humans; D009135:Muscular Diseases / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D012189:Retrospective Studies; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome