Medial displacement calcaneal tuberosity osteotomy in the treatment of posterior tibial insufficiency.
The loss of function of the posterior tibial tendon has been associated with a progressive deformity in adults, resulting in a painful flatfoot. Patients who have a painful flatfoot usually develop a valgus deformity of the hindfoot and an abduction deformity of the forefoot. If these deformities are supple, a medial displacement calcaneal tuberosity osteotomy together with a soft tissue repair by talonavicular capsulorraphy and repair of the spring ligament associated with a flexor digitorum tendon transfer to the posterior tibial can result in a satisfactory outcome.
Rodriguez
R P
RP
Department of Orthopaedics, Tulane University Health Sciences Center, New Orleans, Louisiana, USA. mshinn@tulane.edu
D002111:Calcaneus / Q000601:surgery*; D005528:Foot; D005684:Gait / Q000502:physiology; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D013710:Tendons / Q000503:physiopathology*