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Modified Kidner procedure utilizing a Mitek bone anchor

D M Dawson1, M E Julsrud, B B Erdmann

  • 1Department of Podiatric Medicine and Surgery, Gundersen Lutheran, La Crosse, WI 54601, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|May 8, 1998
PubMed
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Mitek bone anchors offer a reliable method for tendon-to-bone fixation in foot reconstructive surgery, potentially speeding recovery and reducing the need for orthotics after a modified Kinder procedure.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Biomaterials in Surgery

Background:

  • Small bone suture anchors have emerged as valuable tools in foot reconstructive surgery.
  • The Mitek bone anchor system provides a reliable method for tendon-to-bone fixation, particularly for the posterior tibial tendon.

Purpose of the Study:

  • To evaluate patient satisfaction and long-term clinical outcomes of the modified Kinder procedure with and without Mitek bone anchoring.
  • To compare the efficacy of Mitek bone anchors versus traditional methods in treating redundant tibialis posterior tendon.

Main Methods:

  • A retrospective study of 13 patients undergoing the modified Kinder procedure.
  • Seven patients received Mitek anchoring, while six did not.
  • Patient outcomes were assessed using a modified University of Maryland 100-point Painful Foot Center Scoring System.

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Main Results:

  • Overall patient satisfaction was high in both groups (85.6% Mitek, 100% non-Mitek).
  • The Mitek group demonstrated quicker recovery to unaided ambulation (3 weeks vs. 4.42 weeks) and pain-free ambulation in normal shoegear (4 weeks vs. 6 weeks).
  • Fewer patients in the Mitek group required postoperative orthotics (14% vs. 67%).

Conclusions:

  • Mitek bone anchoring is an effective technique for secure plication of the posterior tibial tendon in modified Kinder procedures.
  • This method may enhance medial arch support and expedite postoperative recovery.
  • Mitek anchors offer a viable alternative to traditional reefing techniques for posterior tibial tendon redundancy.