title: Tendon transfers in the treatment of the adult flatfoot.
abstract: Tendon transfers are critical to successful surgical correction of adult flexible flatfoot deformity and may be beneficial in correcting rigid deformities as well. Patients with refractory stage I and II deformities often require selective osteotomies in addition to tendon transfer. Patients with stage III and IV deformities typically require hindfoot arthrodesis. One of several tendons can be used for transfer based on surgeon's preference. Flexor digitorum longus (FDL) and flexor hallucis longus (FHL) transfers have been shown to have good results. A peroneus brevis transfer is typically used to supplement small FDL or FHL transfer donors or in revision cases.
authors.affiliation: Department of Orthopaedic Surgery, Washington University School of Medicine in St Louis, Campus Box 8233, 660 South Euclid Avenue, St Louis, MO 63110, USA.
authors.forename: Jonathon D
authors.initials: JD
authors.lastname: Backus
authors.affiliation: Department of Orthopaedic Surgery, Washington University School of Medicine in St Louis, 14532 South Outer Forty Drive, Suite 210, Chesterfield, MO 63017, USA. Electronic address: mccormickj@wudosis.wustl.edu.
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: McCormick
mesh_terms: D000328:Adult; D005413:Flatfoot / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D013709:Tendon Transfer
keywords: Adult acquired flatfoot deformity; Flexor digitorum longus; Flexor hallicus longus; Peroneus brevis; Peroneus longus; Posterior tibial tendon dysfunction; Tendon transfer; Tibialis posterior