Posterior Tibial Tendon Insufficiency Results at Different Stages
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
The results of surgical treatment of posterior tibial tendon insufficiency (PTTI) may be different at different stages of the disease. No single study has compared the results at different stages. This comparison can be helpful to the patient and physician if the patient asks “What if I wait and the disease progresses, how will my results be different?” A preliminary study comparing results for stage IIa, stage IIb (advanced stage II), and stage III was performed followed by a larger study comparing IIa and IIb with 26 and 22 patients, respectively. American Orthopaedic Foot and Ankle Society (AOFAS) outcome scores as well as radiographs and functional questions were used. Nearly all patients, regardless of stage, felt they were helped by surgical treatment. However, the lowest AOFAS score was in stage III, the most advanced stage investigated in this study. In comparing stage IIa and IIb patients, stage IIb patients had a statistically higher incidence of lateral discomfort. Although statistically significant differences were not found in all comparisons, this study suggests that the results of surgical treatment for PTTI declines with increasing stage or severity of disease.
- Myerson, MS (1996) Adult acquired flatfoot deformity. J Bone Jt Surg 78A (5):780–792.
- Pomeroy GC, Pike RH, Beals TC, Manoli A (1999) Acquired flatfoot in adults. J Bone Jt Surg 81A:1173–1182.
- Sangeorzan BJ, Mosca V, Hansen ST, Jr (1993) Effect of calcaneal lengthening on relationships among the hindfoot, midfoot and forefoot. Foot Ankle Int 14:136–141.
- Hiller L, Pinney S (2003) Surgical treatment of acquired adult flatfoot deformity: what is the state of practice among academic foot and ankle surgeons in 2002? Foot Ankle Int 24:701–705.
- Graves SC, Stephenson K (1997) The use of subtalar and triple arthrodesis in the treatment of posterior tibial tendon dysfunction. Foot Ankle Clin 2:319–328.
- Mann RA, Beamon DN, Horton GA (1998) Isolated subtalar arthrodesis. Foot Ankle Int 19:511–519.
- Thomas RL, Wells BC, Garrison RL, Prada SA (2001) Preliminary results comparing two methods of lateral column lengthening. Foot Ankle Int 22:107–119.
- Kitaoka HB, Alexander IJ, Adeloor RS, Nunley JA, Meyerson MS, Sanders M (1994) Clinical rating symptoms for the ankle–hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 15:349–353.
- Pell RF, Myerson Ms, Schon LC (2000) Clinical outcome after primary triple arthrodesis. J Bone Jt Surg 82A:47–57.
- Tien TR, Parks BG, Guyton GP (2005) Plantar pressures in the forefoot after lateral column lengthening: a cadaveric study comparing the Evans osteotomy and a calcaneocuboid fusion. Foot Ankle Int 26:520–525.
- Pinney SJ, Lin SS (2006) Current concept review: acquired adult flatfoot deformity. Foot Ankle Int 27:66–75
- Mosair-LaClair S, Pomeroy G, Manoli A (2001) Intermediate follow-up on the double osteotomy and tendon transfer procedure for state II posterior tibial tendon insufficiency. Foot Ankle Int 22:283–291.
- Pomeroy GC, Manoli A, II (1997) A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. Foot Ankle Int 18:206–212.
- Posterior Tibial Tendon Insufficiency Results at Different Stages
Volume 2, Issue 2 , pp 157-160
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- posterior tibial tendon insufficiency
- adult acquired flatfoot
- Industry Sectors