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      Radiographic evaluation of endoscopic gastrocnemius recession, subtalar joint arthroereisis, and flexor tendon transfer for surgical correction of stage II posterior tibial tendon dysfunction: a pilot study.

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          Abstract

          The best procedure for surgical correction of stage II posterior tibial tendon dysfunction has long been a source of debate among foot and ankle surgeons. A combination of endoscopic gastrocnemius recession, subtalar joint arthroereisis, and flexor digitorum longus tendon transfer has been used in an attempt to avoid some of the complications seen with calcaneal osteotomies, and to allow an earlier return to function and weight bearing. A retrospective analysis of preoperative and postoperative radiographic changes in 10 patients for whom surgical correction of the deformity was performed between 2003 and 2006 is presented as a pilot study. Seven radiographic variables considered standard for the radiographic assessment of posterior tibial tendon dysfunction were measured. The outcome measure of interest was the return of radiographic variables to normal ranges following surgical correction of the deformity. In addition, preoperative and postoperative clinical outcomes were assessed to evaluate the long-term clinical benefits of this trio of procedures. Radiographic values were noted to return to normal ranges in all cases following this trio of surgical procedures; these changes were statistically significant (P < or = .05). These preliminary results suggest that this surgical combination provides satisfactory correction of deformity in patients presenting with stage II posterior tibial tendon dysfunction.

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          Author and article information

          Journal
          J Foot Ankle Surg
          The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
          1542-2224
          1067-2516
          : 47
          : 5
          Affiliations
          [1 ] Podiatric Medicine and Surgery, Providence Hospital, Southfield, MI, USA. vanessaadelman@yahoo.com
          Article
          S1067-2516(08)00249-4
          10.1053/j.jfas.2008.06.005
          18725119
          f0f566a3-8d1f-497e-a861-8dff4d504341
          History

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