title: Intermediate term follow-up of calcaneal osteotomy and flexor digitorum longus transfer for treatment of posterior tibial tendon dysfunction.
abstract: Twenty-three patients with stage II posterior tibial tendon dysfunction who had failed non-surgical therapy were treated with flexor digitorum longus transfer and calcaneal osteotomy. At latest follow-up averaging 35 +/- 7 months (range, 24 to 51 months), 22 patients (96%) were subjectively "better" or "much better." No patient had difficulty with shoe wear; however, four patients (17%) required routine orthotic use consisting of a molded shoe insert. AOFAS scores were available on 21 patients and improved from a preoperative mean of 50 +/- 14 (range, 27 to 85) to a postoperative mean of 89 +/- 10 (range, 70 to 100). Our experience, at an intermediate date follow-up is that calcaneal osteotomy and flexor digitorum longus transfer is a safe and effective form of treatment for stage II posterior tibial tendon dysfunction.
authors.affiliation: Department of Orthopaedics and Rehabilitation, Penn State University, Hershey, PA 17033, USA.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Fayazi
authors.forename: Hoan-Vu
authors.initials: HV
authors.lastname: Nguyen
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Juliano
mesh_terms: D002111:Calcaneus / Q000601:surgery*; D003131:Combined Modality Therapy; D005413:Flatfoot / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D037081:Posterior Tibial Tendon Dysfunction / Q000601:surgery*; D011183:Postoperative Complications; D013709:Tendon Transfer