Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Operative Treatment of Acquired Adult Flatfoot

후천적 성인 편평족 변형의 수술적 치료

  • Ahn, Chi-Young (Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Jae Hoon (Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Man-Soo (Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 안치영 (가톨릭대학교 의과대학 서울성모병원 정형외과학교실) ;
  • 안재훈 (가톨릭대학교 의과대학 서울성모병원 정형외과학교실) ;
  • 김만수 (가톨릭대학교 의과대학 서울성모병원 정형외과학교실)
  • Received : 2014.06.28
  • Accepted : 2014.07.17
  • Published : 2014.09.15
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Abstract

Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.

Keywords

References

  1. Johnson KA. Tibialis posterior tendon rupture. Clin Orthop Relat Res. 1983;(177):140-7.
  2. Mann RA, Thompson FM. Rupture of the posterior tibial tendon causing flat foot. Surgical treatment. J Bone Joint Surg Am. 1985;67:556-61.
  3. Myerson MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect. 1997;46:393-405.
  4. Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res. 1989;(239):196-206.
  5. Pinney SJ, Lin SS. Current concept review: acquired adult flatfoot deformity. Foot Ankle Int. 2006;27:66-75.
  6. Deland JT, de Asla RJ, Sung IH, Ernberg LA, Potter HG. Posterior tibial tendon insufficiency: which ligaments are involved? Foot Ankle Int. 2005;26:427-35.
  7. Holmes GB Jr, Mann RA. Possible epidemiological factors associated with rupture of the posterior tibial tendon. Foot Ankle. 1992;13:70-9.
  8. Deland JT. Adult-acquired flatfoot deformity. J Am Acad Orthop Surg. 2008;16:399-406.
  9. Deland JT, Page A, Sung IH, O'Malley MJ, Inda D, Choung S. Posterior tibial tendon insufficiency results at different stages. HSS J. 2006;2:157-60.
  10. Vora AM, Tien TR, Parks BG, Schon LC. Correction of moderate and severe acquired flexible flatfoot with medializing calcaneal osteotomy and flexor digitorum longus transfer. J Bone Joint Surg Am. 2006;88:1726-34.
  11. Deland JT, de Asla RJ, Segal A. Reconstruction of the chronically failed deltoid ligament: a new technique. Foot Ankle Int. 2004;25:795-9.
  12. Teasdall RD, Johnson KA. Surgical treatment of stage I posterior tibial tendon dysfunction. Foot Ankle Int. 1994;15:646-8.
  13. Myerson MS, Badekas A, Schon LC. Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy. Foot Ankle Int. 2004;25:445-50.
  14. Otis JC, Deland JT, Kenneally S, Chang V. Medial arch strain after medial displacement calcaneal osteotomy: an in vitro study. Foot Ankle Int. 1999;20:222-6.
  15. Hiller L, Pinney SJ. Surgical treatment of acquired flatfoot deformity: what is the state of practice among academic foot and ankle surgeons in 2002? Foot Ankle Int. 2003;24:701-5.
  16. Needleman RL. A surgical approach for flexible flatfeet in adults including a subtalar arthroereisis with the MBA sinus tarsi implant. Foot Ankle Int. 2006;27:9-18.
  17. Hirose CB, Johnson JE. Plantarflexion opening wedge medial cuneiform osteotomy for correction of fixed forefoot varus associated with flatfoot deformity. Foot Ankle Int. 2004;25:568-74.
  18. Evans D. Calcaneo-valgus deformity. J Bone Joint Surg Br. 1975;57:270-8.
  19. Pomeroy GC, Pike RH, Beals TC, Manoli A 2nd. Acquired flatfoot in adults due to dysfunction of the posterior tibial tendon. JBone Joint Surg Am. 1999;81:1173-82.
  20. Tien TR, Parks BG, Guyton GP. Plantar pressures in the forefoot after lateral column lengthening: a cadaver study comparing the Evans osteotomy and calcaneocuboid fusion. Foot Ankle Int. 2005;26:520-5.
  21. Deland JT, Otis JC, Lee KT, Kenneally SM. Lateral column lengthening with calcaneocuboid fusion: range of motion in the triple joint complex. Foot Ankle Int. 1995;16:729-33.
  22. Thomas RL, Wells BC, Garrison RL, Prada SA. Preliminary results comparing two methods of lateral column lengthening. Foot Ankle Int. 2001;22:107-19.
  23. Dolan CM, Henning JA, Anderson JG, Bohay DR, Kornmesser MJ, Endres TJ. Randomized prospective study comparing tri-cortical iliac crest autograft to allograft in the lateral column lengthening component for operative correction of adult acquired flatfoot deformity. Foot Ankle Int. 2007;28:8-12.
  24. Cohen BE, Johnson JE. Subtalar arthrodesis for treatment of posterior tibial tendon insufficiency. Foot Ankle Clin. 2001;6:121-8.
  25. Deland JT, Page AE, Kenneally SM. Posterior calcaneal osteotomy with wedge: cadaver testing of a new procedure for insufficiency of the posterior tibial tendon. Foot Ankle Int. 1999;20:290-5.
  26. Coetzee JC, Hansen ST. Surgical management of severe deformity resulting from posterior tibial tendon dysfunction. Foot Ankle Int. 2001;22:944-9.

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