Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency
El-Sayed, N., Fadel, M., Yosef, A., Soliman, A. (2018). Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency. EKB Journal Management System, 53(1), 14-20. doi: 10.4103/eoj.eoj_9_18
Nady S. El-Sayed; Mohamed M. Fadel; Ahmed O. Yosef; Amr M.M. Soliman. "Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency". EKB Journal Management System, 53, 1, 2018, 14-20. doi: 10.4103/eoj.eoj_9_18
El-Sayed, N., Fadel, M., Yosef, A., Soliman, A. (2018). 'Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency', EKB Journal Management System, 53(1), pp. 14-20. doi: 10.4103/eoj.eoj_9_18
El-Sayed, N., Fadel, M., Yosef, A., Soliman, A. Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency. EKB Journal Management System, 2018; 53(1): 14-20. doi: 10.4103/eoj.eoj_9_18

Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency

The Egyptian Orthopaedic Journal
Volume 53, Issue 1, January 2018, Pages 14-20    PDF (1.19 M)
DOI: 10.4103/eoj.eoj_9_18
Authors
Nady S. El-Sayed; Mohamed M. Fadel; Ahmed O. Yosef; Amr M.M. Soliman
Abstract
Background
Medial displacement calcaneal osteotomy is indicated in individuals with stage 2 posterior tibial tendon deficiency (PTTD) with a supple hindfoot and the absence of clinical or radiographic arthritis.
Patients and methods
This prospective study evaluated the effects of medial displacement calcaneal osteotomy and flexor digitorum longus transfer to navicular bone on pedal realignment and function in 14 patients (15 feet) with a stage 2 PTTD.
Results
American College of Foot and Ankle Surgeons scoring scale module number 3 was measured before the reconstruction and at latest follow-up, and also patients’ satisfaction were reported, demonstrating a good realignment in short-term follow-up (15–18 months). The American College of Foot and Ankle Surgeons score improved postoperatively from average of 53.5 to 87.4 without progression of arthritis at adjacent joints.
Conclusion
This simple surgical procedure has an excellent effect on realignment and function of PTTD stage 2 without marked forefoot abduction.
Keywords
calcaneal osteotomy; deformity; posterior tibial tendon deficiency (PTTD)
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