A new surgical technique for traumatic dislocation of posterior tibial tendon with avulsion fracture of medial malleolus.
We introduce a case of traumatic dislocation of the posterior tibial tendon with avulsion fracture of the medial malleolus in a 52-year-old female patient who was treated surgically with periosteal flap and suture anchor fixation. Based in the posteromedial ridge of the distal tibia, a quadrilateral periosteal flap was created and folded over the tendon, followed by fixation on the lateral aspect of the groove by use of multiple suture anchors. Clinical and radiological findings 25 months postoperatively showed well-preserved function of the ankle joint with stable tendon gliding.
Department of Orthopaedic Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.
Soon-Taek
ST
Jeong
Department of Orthopaedic Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.
Sun-Chul
SC
Hwang
Department of Orthopaedic Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.
Dong-Hee
DH
Kim
Department of Orthopaedic Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.
Dae-Cheol
DC
Nam
D000843:Ankle Joint / Q000000981:diagnostic imaging*; D004838:Epiphyses; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D053441:Suture Anchors; D013639:Tarsal Bones; D013710:Tendons / Q000601:surgery*; D013977:Tibia / Q000601:surgery*