Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 501-503 , September 2010

Interference Screw Fixation and Short Harvest Using Flexor Digitorum Longus (FDL) Transfer for Posterior Tibial Tendon Dysfunction: A Technique

  • Bradly W. Bussewitz, DPM

      Affiliations

    • Advanced Foot and Ankle Surgical Fellow, Orthopedic Foot & Ankle Center, Westerville, OH
    • Corresponding Author InformationAddress correspondence to: Bradly W. Bussewitz, DPM, Orthopedic Foot & Ankle Center, Westerville Medical Campus, 300 Polaris Pkwy, Suite 2000, Westerville, OH 43082.
    • ,
  • Christopher F. Hyer, DPM, FACFAS

      Affiliations

    • Advanced Foot and Ankle Surgical Fellowship Director, Orthopedic Foot & Ankle Center, Westerville, OH

References 

  1. Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop. 1989;239:196–206
  2. Mann RA, Thompson FM. Rupture of the posterior tibial tendon causing flat foot. Surgical Treatment. J Bone Joint Surg. 1985;67A:556–561
  3. Lambert KL. Vascularized patellar tendon graft with rigid internal fixation for anterior cruciate ligament insufficiency. Clin Orthop. 1993;172:85–89
  4. Myerson MS, Badekas A, Schon LC. Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy. Foot Ankle Int. 2004;25:445–450
  5. Guyton GP, Jeng C, Krieger LE, Mann RA. Flexor digitorum longus transfer and medial displacement calcaneal osteotomy for posterior tibial tendon dysfunction: a middle-term clinical followup. Foot Ankle Int. 2001;22:627–632
  6. Panchbhavi VK, Trevino SG. Technique Tip: Minimally invasive technique for harvesting long flexor tendons of the foot. Foot Ankle Int. 2007;28:269–271
  7. Wukich DK, Rhim B, Lowery NJ, Dial D. Biotenodesis screw for fixation of FDL transfer in the treatment of adult acquired flatfoot deformity. Foot Ankle Int. 2008;29:730–734
  8. Harris NJ, Ven A, LaValette D. Flexor digitorum longus transfer using an interference screw for stage 2 posterior tibial tendon dysfunction. Foot Ankle Int. 2005;26:781–782

 Financial Disclosure: Dr Hyer is a consultant for Wright Medical.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00274-7

doi: 10.1053/j.jfas.2010.06.019

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 501-503 , September 2010

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