Surgical Management of Musculotendinous Balance in the Progressive Collapsing Foot Deformity

Autor: Daniel Guss, Philip B. Kaiser
Rok vydání: 2021
Předmět:
Zdroj: Foot and Ankle Clinics. 26:559-575
ISSN: 1083-7515
DOI: 10.1016/j.fcl.2021.06.005
Popis: Surgical treatment of progressive collapsing foot deformity (PCFD) relies on understanding the dynamic and deforming musculotendinous structures that contribute to hindfoot valgus, forefoot abduction, forefoot varus, and collapse or hypermobility of the medial column. Equinus commonly is seen in PCFD and consideration should be given to isolated gastrocnemius or Achilles lengthening. Although transfer of the flexor digitorum longus tendon is performed in PCFD attributed to dysfunction and pathology of the posterior tibialis tendon (PTT), retention of PTT is an area for further research. The peroneus brevis, which contributes to hindfoot imbalance in chronic cases, is a possible component of tendon rebalancing.
Databáze: OpenAIRE