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Hibbs Tenosuspension.

Sean T Grambart1

  • 1Orthopedics, Carle Physician Group, 1802 South Mattis Avenue, Champaign, IL 61821, USA.

Clinics in Podiatric Medicine and Surgery
|November 23, 2015
PubMed
Summary
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Hibbs tenosuspension is an effective surgical option for lesser toe deformities, particularly in Charcot-Marie-Tooth disease. This procedure redirects tendons to correct deformities and enhance foot stability.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Neuromuscular Disorders

Background:

  • Lesser toe deformities are common in neuromuscular conditions like Charcot-Marie-Tooth disease.
  • Existing treatments may not fully address the dynamic nature of these deformities.
  • The Hibbs tenosuspension is an underutilized surgical technique for these cases.

Purpose of the Study:

  • To describe the Hibbs tenosuspension procedure for correcting lesser toe pathology.
  • To highlight its application in patients with Charcot-Marie-Tooth disease.
  • To explain its biomechanical effects in eliminating deforming forces and creating stability.

Main Methods:

  • Detailed description of the Hibbs tenosuspension technique.
  • Focus on the transfer of extensor digitorum longus tendons.
Keywords:
Charcot-Marie-ToothExtensor digitorum longus to midfootExtensor substitutionHibbs tendon transferHibbs tenosuspension

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  • Integration with the peroneus tertius tendon.

    • Main Results:

    • The procedure aims to correct toe alignment by addressing the underlying muscle imbalance.
    • It converts a deforming force into a stabilizing or corrective force.
    • Potential for improved foot function and reduced pathology progression.

    Conclusions:

    • Hibbs tenosuspension offers a valuable approach to managing lesser toe deformities.
    • It is particularly relevant for conditions like Charcot-Marie-Tooth disease.
    • Further clinical evaluation may support wider adoption of this technique.