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Role of Minimally Invasive Surgery in Adult Flatfoot Deformity
Alessio Bernasconi1, Robbie Ray2
1Department of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Via Pansini 5, Naples 80131, Italy; Foot and Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.
Abstract:
Adult acquired flatfoot deformity (AAFD) as a consequence of posterior tibial tendon dysfunction is commonly divided in flexible (stages I and II) and fixed (stages III and IV) deformities. The aim of this article is to summarize the evidence available for minimally invasive surgical techniques that can be used in the treatment of flexible AAFD, including tibialis posterior tendoscopy, subtalar arthroereisis, minimally invasive calcaneal osteotomy, and medial proximal gastrocnemius recession. A treatment algorithm and technical tips have also been provided.
