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
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Flexible flatfoot treatment with arthroereisis: radiographic improvement and child health survey analysis.J Foot Ankle Surg. 2004; 43: 144-155
- Biomechanics of procedures used in adult flatfoot deformity.Foot Ankle Clin. 2001; 6: 15-23
- Combined technique for surgical correction of the pediatric severe flexible flatfoot.J Foot Ankle Surg. 1995; 34: 183-194
- The cavovarus foot (medial peritalar subluxation).in: Hansen S.T. Functional Reconstruction of the Foot and Ankle, p 211. Lippincott Williams & Wilkins, Philadelphia2000
- Possible epidemiological factors associated with rupture of posterior tibial tendon.Foot Ankle. 1992; 13: 70-79
- Current concepts review: acquired flatfoot in adults due to dysfunction of the posterior tibial tendon.J Bone Joint Surg. 1999; 81A: 1173-1182
- Use of the Cobb procedure in the treatment of posterior tibial tendon dysfunction.Clin Podiatr Med Surg. 2002; 19: 371-389
- Treatment of mobile flatfoot by displacement osteotomy of the calcaneus.J Bone Joint Surg. 1971; 53B: 96-100
- Kidner procedure for symptomatic accessory navicular and its relationship to pes planus.Foot Ankle. 1995; 16: 500-503
- The pre hallux (accessory scaphoid) in its relationships to the flat foot.J Bone Joint Surg. 1929; 11: 831-837
- The relationship of the accessory navicular to the development of the flatfoot.Clin Orthop. 1979; 144: 233-237
- The symptomatic accessory navicular bone.J Fam Pract. 1982; 15: 59-64
- An operative method for the correction of certain forms of flatfoot.JAMA. 1923; 81: 1500-1502
- The Cobb procedure for stage II posterior tibial tendon dysfunction.Clin Podiatr Med Surg. 1999; 16: 471-473
- Cobb repair for tibialis posterior tendon rupture.J Foot Surg. 1990; 29: 349-352
- Posterior tibial tendon rupture: classification, modified surgical repair, and retrospective study.J Foot Ankle Surg. 1993; 32: 2-13
- Outcomes for surgical correction for stages II and III tibialis posterior dysfunction.J Foot Ankle Surg. 1998; 37: 467-471
- The Cobb procedure for treatment of acquired flatfoot deformity associated with stage II insufficiency of the posterior tibial tendon.Foot Ankle Int. 2007; 28: 416-421
- Pathologic pes valgus disorders.in: Banks A.S. Downey M.S. Martin D.E. Miller S.J. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery. Lippincott Williams & Wilkins, Philadelphia2001: 869-879
- Acquired adult flatfoot secondary to stage I posterior tendon pathology.J Bone Joint Surg. 1986; 68A: 95-102
- Rupture of the posterior tibial tendon: CT and surgical findings.Radiology. 1988; 176: 489-493
- Tibialis posterior tendon dysfunction.Clin Orthop. 1989; 239: 196-206
- Clinical significance of magnetic resonance imaging in preoperative planning for reconstruction of posterior tibial tendon ruptures.Foot Ankle. 1992; 13: 208-214
- Special Report series no 282. Her Majesty's Stationary Office, London1954
- The nervous system.in: Bates B. A Guide to Physical Examination and History Taking. J.B. Lippincott Company, Philadelphia1987: 490
- Computer face scale for measuring pediatric pain and mood.J Pain. 2008; 10: 173-179
- Acquired flatfoot secondary to tibialis posterior dysfunction: biomechanical aspects.J Foot Surg. 1991; 30: 2-11
- Subtalar arthroereisis: a combined technique.J Foot Surg. 1988; 27: 157-161
- Subtalar arthroereisis as adjunct treatment for type II posterior tibial tendon deficiency.Tech Foot Ankle Surg. 2006; 5: 117-125
- Surgical treatment of flexible flatfoot in children.J Bone Joint Surg Am. 2001; 83-A: 73-79
- Instructional Course Lectures, The American Academy of Orthopaedic Surgeons—Adult Acquired Flatfoot Deformity. Treatment of Dysfunction of the Posterior Tibial Tendon.J Bone Joint Surg Am. 1996; 76: 780-792
- A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report.Foot Ankle. 1997; 18: 206-212
- Double calcaneal osteotomy in the treatment of posterior tibial tendon dysfunction.J Foot Ankle Surg. 1995; 34: 254-261
- Adult flatfoot/posterior tibial tendon dysfunction: outcomes analysis of surgical treatment utilizing an algorithmic approach.J Foot Ankle Surg. 2000; 39: 359-364
Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.