Related Experiment Videos
Flexible adult flatfoot: soft tissue procedures
Jeremy L Walters1, Samuel S Mendicino1
1West Houston Medical and Surgical Residency Program PMSR/RRA, West Houston Medical Center, 12121 Richmond Avenue, Suite 417, Houston, TX 77082, USA.
Clinics in Podiatric Medicine and Surgery
|July 2, 2014
Summary
Posterior tibial tendon dysfunction (PTTD) treatment has evolved from solely soft tissue repair to include osseous procedures due to a better understanding of its complex biomechanics. Restoring soft tissues remains crucial for effective flatfoot repair.
Area of Science:
- Orthopedics
- Foot and Ankle Surgery
- Biomechanics
Background:
- Posterior tibial tendon dysfunction (PTTD) was historically treated as a simple tendon rupture with soft tissue repair.
- Current understanding recognizes PTTD as a complex condition involving muscle imbalance, leading to flatfoot, osteoarthritis, and peritalar subluxation.
Purpose of the Study:
- To review the evolving understanding of posterior tibial tendon dysfunction (PTTD) pathomechanics.
- To discuss the changing role of surgical interventions, including soft tissue and osseous procedures, in managing PTTD.
Main Methods:
- Literature review of PTTD pathomechanics and surgical treatment evolution.
- Analysis of the interplay between soft tissue and osseous components in PTTD deformity.
Main Results:
- PTTD involves more than tendon rupture; it includes muscle imbalance contributing to significant foot deformities.
- Surgical approaches have expanded to incorporate osseous procedures alongside soft tissue repair.
Conclusions:
- Advancements in understanding PTTD pathomechanics have modified surgical strategies.
- Soft tissue restoration remains a critical component in the surgical management of flatfoot deformities associated with PTTD.