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Dynamic correction for forefoot varus in stage II-A adult flatfoot: Technique tip
1Head Foot & Ankle Department, Hospital Moinhos de Vento (HMV), Av. Praia de Belas 2124/701, Porto Alegre, RS, Brazil.
Abstract:
Posterior tibial tendon dysfunction (PTTD) is a progressive disorder and a common cause of adult acquired flatfoot deformity, and forefoot varus is a frequent component in advanced cases. The author proposes peroneus brevis-to-longus transfer as an additional step to correct the forefoot varus component of stage II-A posterior tibial tendon dysfunction. We have performed this dynamic correction of forefoot varus in 12 patients at our institution, and observed promising clinical and radiographic improvement. It is a soft tissue procedure that avoids additional incisions and represents a favorable alternative to more demanding techniques, such as osteotomy or arthrodesis.
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