Limited plantar incision for flexor digitorum longus tendon harvest in surgical treatment of tibialis posterior tendon insufficiency.

Authors :: Robberecht J
Oddy MJ
Source :: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2021 Jan; Vol. 27 (1), pp. 15-19. Date of Electronic Publication: 2020 Jan 09.
Publication Year :: 2021
Abstract: Background: Surgical correction of stage II tibialis posterior tendon dysfunction (TPTD) commonly utilises the Flexor Digitorum Longus (FDL) tendon to augment the tibialis posterior tendon. The aim of this study is to present our experience and clinical outcomes harvesting the FDL via a limited plantar incision technique.<br />Methods: 25 flat foot operations for stage II TPTD were performed harvesting the FDL via a limited plantar incision centred half-way between the base of the heel to the base of the 2nd toe and two-thirds from the lateral border of the foot.<br />Results: The FDL was isolated with no inter-tendonous connections requiring surgical division. There were no recorded cases of plantar nerve injury nor any technique-related complications observed.<br />Conclusions: The plantar harvest technique for FDL is safe, provides a long tendon graft for transfer and limits the need for an extensive medial midfoot dissection.<br /> (Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)

Subjects :: Female
Follow-Up Studies
Humans
Male
Middle Aged
Time Factors
Flatfoot surgery
Tendon Transfer methods
Tendons surgery

Language :: English
ISSN :: 1460-9584
Volume :: 27
Issue :: 1
Database :: MEDLINE
Journal :: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
Publication Type :: Academic Journal
Accession number :: 31932221
Full Text :: https://doi.org/10.1016/j.fas.2020.01.003

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