Skip to main content

Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.

Publication ,  Journal Article
Demetracopoulos, CA; DeOrio, JK; Easley, ME; Nunley, JA
Published in: J Surg Orthop Adv
2014

Transfer of the flexor digitorum longus (FDL) is indicated to compensate for the loss of posterior tibial tendon (PTT) function in the treatment of adult acquired flatfoot deformity (AAFD). The aim of this study was to determine the effect of PTT resection on pain relief following surgical treatment of stage II AAFD. A retrospective review of patients who underwent surgical treatment for stage II AAFD was performed. Patients were divided into two groups based on whether the degenerated PTT was resected or left in situ. A visual analog scale (VAS) score for pain was recorded for each patient preoperatively. Concomitant surgical procedures and the incidence of postoperative pain were also reported for each group. Deformity correction was assessed with standard weight-bearing radiographs. Thirty-four patients with a mean follow-up of 14 months were included in the study. There was no difference in preoperative VAS pain scores, and patients in both groups demonstrated excellent pain relief postoperatively. Five patients in the PTT resection group and one patient in the PTT in situ group reported lateral-sided foot pain postoperatively. Resection of the PTT did not significantly affect postoperative pain relief. Future prospective studies are needed to determine whether resection of the degenerated PTT is necessary at the time of surgery for stage II AAFD.

Duke Scholars

Published In

J Surg Orthop Adv

ISSN

1548-825X

Publication Date

2014

Volume

23

Issue

4

Start / End Page

184 / 188

Location

United States

Related Subject Headings

  • Young Adult
  • Tendons
  • Retrospective Studies
  • Pain
  • Orthopedic Procedures
  • Middle Aged
  • Humans
  • Flatfoot
  • Aged
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Demetracopoulos, C. A., DeOrio, J. K., Easley, M. E., & Nunley, J. A. (2014). Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction. J Surg Orthop Adv, 23(4), 184–188.
Demetracopoulos, Constantine A., James K. DeOrio, Mark E. Easley, and James A. Nunley. “Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.J Surg Orthop Adv 23, no. 4 (2014): 184–88.
Demetracopoulos CA, DeOrio JK, Easley ME, Nunley JA. Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction. J Surg Orthop Adv. 2014;23(4):184–8.
Demetracopoulos, Constantine A., et al. “Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.J Surg Orthop Adv, vol. 23, no. 4, 2014, pp. 184–88.
Demetracopoulos CA, DeOrio JK, Easley ME, Nunley JA. Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction. J Surg Orthop Adv. 2014;23(4):184–188.

Published In

J Surg Orthop Adv

ISSN

1548-825X

Publication Date

2014

Volume

23

Issue

4

Start / End Page

184 / 188

Location

United States

Related Subject Headings

  • Young Adult
  • Tendons
  • Retrospective Studies
  • Pain
  • Orthopedic Procedures
  • Middle Aged
  • Humans
  • Flatfoot
  • Aged
  • Adult