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Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction

Publication ,  Journal Article
Dunham, AM; De Cesar Netto, C; Godoy-Santos, AL; Schon, LC
Published in: Techniques in Foot and Ankle Surgery
December 1, 2019

Stage II adult acquired flatfoot deformity is characterized by painful, progressive collapse long thought to be driven by posterior tibialis tendon (PTT) deficiency or insufficiency. In this article, we discuss the history of our understanding the role of the PTT in the development of adult acquired flatfoot deformity, and considerations in tendon excision in flatfoot correction. We argue that routine excision of the PTT should be rethought and instead the tendon should be critically assessed in each case and debridement with repair should be attempted when appropriate. Technique for flexor digitorum longus transfer is detailed as well as preoperative evaluation, imaging, nonoperative treatment, and adjuvants including biologics.

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Published In

Techniques in Foot and Ankle Surgery

DOI

EISSN

1538-1943

ISSN

1536-0644

Publication Date

December 1, 2019

Volume

18

Issue

4

Start / End Page

166 / 173

Related Subject Headings

  • Orthopedics
 

Citation

APA
Chicago
ICMJE
MLA
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Dunham, A. M., De Cesar Netto, C., Godoy-Santos, A. L., & Schon, L. C. (2019). Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction. Techniques in Foot and Ankle Surgery, 18(4), 166–173. https://doi.org/10.1097/BTF.0000000000000254
Dunham, A. M., C. De Cesar Netto, A. L. Godoy-Santos, and L. C. Schon. “Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction.” Techniques in Foot and Ankle Surgery 18, no. 4 (December 1, 2019): 166–73. https://doi.org/10.1097/BTF.0000000000000254.
Dunham AM, De Cesar Netto C, Godoy-Santos AL, Schon LC. Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction. Techniques in Foot and Ankle Surgery. 2019 Dec 1;18(4):166–73.
Dunham, A. M., et al. “Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction.” Techniques in Foot and Ankle Surgery, vol. 18, no. 4, Dec. 2019, pp. 166–73. Scopus, doi:10.1097/BTF.0000000000000254.
Dunham AM, De Cesar Netto C, Godoy-Santos AL, Schon LC. Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction. Techniques in Foot and Ankle Surgery. 2019 Dec 1;18(4):166–173.

Published In

Techniques in Foot and Ankle Surgery

DOI

EISSN

1538-1943

ISSN

1536-0644

Publication Date

December 1, 2019

Volume

18

Issue

4

Start / End Page

166 / 173

Related Subject Headings

  • Orthopedics