A Combined Reconstructive Procedure with Rerouting of Tibialis Anterior Tendon in Management of Severe Flexible Flatfoot in Children in Damietta | ||||
| International Journal of Medical Arts | ||||
| Article 13, Volume 6, Issue 8, August 2024, Page 4828-4833 PDF (1.62 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2024.287319.1964 | ||||
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| Authors | ||||
Abdullah Elsayed Ibrahem Elqenawy  1; Osman Abdellah Mohamed2; Ammar Fathy Abd-ELhamied Hussein2
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| 1Department of Orthopedic Surgery, Mansoura Insurance Hospital, Ministry of Health, Mansoura, Egypt | ||||
| 2Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| Abstract | ||||
| Background: Severe flexible flatfoot [FFF] in children can cause long-term disability if left untreated. Various surgical techniques have been described to correct the deformity. However, no surgical technique is universally accepted. Aim of the work: The aim of this study is to evaluate the clinical and radiological outcomes of a combined reconstructive procedure involving rerouting of the tibialis anterior tendon for severe flexible flatfoot in children. Patients and Methods: This prospective study included 20 children [35 feet] with severe FFF who underwent a combined procedure involving medializing calcaneal osteotomy, lateral column lengthening, and rerouting of the tibialis anterior tendon. Clinical assessment and radiographic evaluation of talo‑first metatarsal [T1MT] angle, Meary’s angle and calcaneal pitch were done preoperatively and at final follow-up [minimum 6 months]. Evaluation of function was done using the American Orthopedic Foot & Ankle Society [AOFAS] score. Results: There was significant improvement in the mean AOFAS score from 52.5 ± 13.5 preoperatively to 87 ± 7.8 at final follow-up. The mean T1MT angle improved from 17.29° ± 4.32° to 6.66° ± 4.1° and calcaneal pitch from 8.63° ± 2.51° to 21.43° ± 4.95°. No major complications were encountered. Conclusion: Rerouting of the tibialis anterior tendon as an adjunct to combined reconstructive procedure provided satisfactory clinical and radiological outcomes in management of severe flexible flatfoot in children with minimal complications. | ||||
| Keywords | ||||
| Achilles Tendon; Flatfoot; Foot Orthoses | ||||
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