Tendoscopy for Early-Stages (I and II) Posterior Tibial Tendon Dysfunction

Tendoscopy of tibialis posterior tendon has been proposed >20 years ago for the treatment of posterior tibial tendon dysfunction. A few studies have reported satisfactory results in stages I and II posterior tibial tendon dysfunction (Johnson and Strom classification). This approach allows us to assess the posterior tibial tendon and the spring ligament status, and if needed to perform a synovectomy with soft-tissue debridement. Longitudinal split tendon tears can also be repaired. In case of failure, a traditional corrective open surgery can normally be performed. In this manuscript, we summarize the history of this technique and also reported the indications, surgical approach, results, and complications.

Duke Scholars

Author Cesar de Cesar Netto Orthopaedic Surgery