title: Tendon transfer options in managing the adult flexible flatfoot.
abstract: Patients undergoing surgery for posterior tibial tendon dysfunction may require tendon transfer. The flexor digitorum longus is most commonly transferred, although the flexor hallucis longus and peroneus brevis have also been described in the literature. This article discusses the advantages and disadvantages of the different tendons, the surgical techniques used to perform them, and their results in the literature, concentrating principally on studies in which additional bone procedures were not performed. This article will also discuss the potential role for isolated soft tissue procedures in the treatment of stage 2 posterior tibial tendon dysfunction.
authors.affiliation: Department of Orthopaedic Surgery, University of Connecticut School of Medicine, Medical Arts and Research Building, 263 Farmington Avenue, Farmington, CT 06034-4037, USA. aronow@nso.uchc.edu
authors.forename: Michael S
authors.initials: MS
authors.lastname: Aronow
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery; D001696:Biomechanical Phenomena; D005260:Female; D005413:Flatfoot / Q000175:diagnosis* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000601:surgery; D010147:Pain Measurement; D018579:Patient Selection; D037081:Posterior Tibial Tendon Dysfunction / Q000175:diagnosis / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013709:Tendon Transfer / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D016474:Weight-Bearing