Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 411-416, September 2010

The Modified Kidner-Cobb Procedure for Symptomatic Flexible Pes Planovalgus and Posterior Tibial Tendon Dysfunction Stage II: Review of 50 Feet in 39 Patients

  • Renato Giorgini, DPM

      Affiliations

    • Residency Director, North General Hospital, New York, NY, and Good Samaritan Hospital, West Islip, NY
    • ,
  • Tara Giorgini, MD, DPM

      Affiliations

    • Attending, Casa di Cura Quisisana, Rome, Italy
    • ,
  • Michele Calderaro, MD

      Affiliations

    • Attending, Department of Orthopedic Surgery, St. Peter's Hospital “Fatebenefratelli,” Rome, Italy
    • ,
  • Christopher Japour, DPM

      Affiliations

    • Attending at Good Samaritan Hospital, West Islip, NY
    • ,
  • Jane Cortes, DPM

      Affiliations

    • Resident at Good Samaritan Hospital, Jersey City, NJ
    • Corresponding Author InformationAddress correspondence to: Jane Cortes, DPM, Resident at Good Samaritan Hospital, 21 Reservoir Ave, Jersey City, NJ 07307.
    • ,
  • David Kim, DPM

      Affiliations

    • Resident at North General Hospital, New Windsor, NY

Abstract 

Symptomatic flatfoot is a prevalent disorder. We undertook a review of 50 feet in 39 patients with flexible flatfoot treated between August 2000 and January 2008 in order to evaluate the modified Kidner-Cobb procedure. Overall clinical results were rated as good in 48 (96%) feet and fair in 2 (4%) feet, and there were no poor results. Average follow-up was 4.6 years, and total recovery time was 5.7 months in older patients and 3.7 months in children. Manual muscle-strength testing revealed no difference in tibialis anterior strength between the operated and contralateral extremity. All patients visually demonstrated postoperative elevation of the medial longitudinal arch height. Complications included 2 feet with wound dehiscence and 1 foot with fractured hardware. The results of this review indicate that the modified Kidner-Cobb procedure is a useful treatment option for patients with symptomatic flexible flatfoot with posterior tibial tendon dysfunction stage 2.

Level of Evidence: 2

Keywords: arthroereisis, flatfoot, surgery, tibialis anterior, tibialis posterior

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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00267-X

doi:10.1053/j.jfas.2010.06.012

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 411-416, September 2010

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