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Flexor Digitorum Longus Tendon Transfer and Modified Kidner Technique in Posterior Tibial Tendon Dysfunction
James T Maskill1, Gregory C Pomeroy2
1Orthopaedic Associates of Kalamazoo, 3810 Center Avenue, Portage, MI 49024, USA.
Clinics in Podiatric Medicine and Surgery
|November 23, 2015
Summary
The modified Kidner procedure and flexor digitorum longus tendon transfer effectively treat posterior tibial tendon dysfunction and flatfoot deformity. These reliable surgical methods offer predictable outcomes for patients.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
Background:
- Posterior tibial tendon dysfunction (PTTD) is a common cause of adult acquired flatfoot deformity.
- Conservative treatments for PTTD have limited success in severe cases.
Purpose of the Study:
- To review the efficacy of the modified Kidner procedure and flexor digitorum longus tendon transfer for PTTD.
- To evaluate the role of osteotomies in correcting associated flatfoot deformity.
Main Methods:
- The modified Kidner procedure involves repositioning the navicular bone.
- Flexor digitorum longus tendon transfer augments the function of the PTT.
- Osteotomies are utilized to realign the foot's bony architecture.
Main Results:
- Both the modified Kidner procedure and FDL tendon transfer are reliable surgical options for PTTD.
- These procedures, when combined with osteotomies, effectively correct flatfoot deformity.
- The techniques demonstrate predictable outcomes in clinical practice.
Conclusions:
- The modified Kidner procedure and flexor digitorum longus tendon transfer are proven, reliable surgical treatments for PTTD.
- Combined surgical approaches, including osteotomies, provide predictable correction of flatfoot deformity.
- These methods represent standard surgical care for complex PTTD.
