Operative Treatment of Acquired Adult Flatfoot.
10.14193/jkfas.2014.18.3.93
- Author:
Chi Young AHN
1
;
Jae Hoon AHN
;
Man Soo KIM
Author Information
1. Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. jahn@catholic.ac.kr
- Publication Type:Review
- Keywords:
Acquired adult flatfoot deformity;
Posterior tibial tendon;
Flexor digitorum longus tendon transfer;
Calcaneal medial slide osteotomy;
Lateral column lengthening
- MeSH:
Adult*;
Arthrodesis;
Congenital Abnormalities;
Flatfoot*;
Humans;
Osteotomy;
Tendon Transfer;
Tendons
- From:Journal of Korean Foot and Ankle Society
2014;18(3):93-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.