Liječnički vjesnik, Vol. 138 No. 5-6, 2016.
Original scientific paper
IS THERE ANY ROOM FOR TENDOSCOPY IN THE SURGICAL TREATMENT OF POSTERIOR TIBIAL TENDON INSUFFICIENCY?
Ivan Bojanić
Damjan Dimnjaković
Alan Mahnik
Tomislav Smoljanović
Abstract
Posterior tibial tendon insufficiency (PTTI) is nowadays considered to be the main cause of adult-acquired flatfoot deformity (AAFD). The purpose of this study is to report the outcomes of tendoscopic treatment of tibialis posterior tendon (TP) in eleven patients with stage 1 or 2 PTTI and failed prior conservative treatment. Tendoscopy was carried out as a solitary procedure in 8 patients, while in 3 patients additional procedures such as „mini-open” tubularization of TP or anterior ankle arthroscopy were necessary. In a single patient transfer of flexor digitorum longus tendon was performed as a second stage surgery due to complete rupture of TP. Related with tendoscopic procedure, no complications were reported. TP tendoscopy is a useful and beneficial minimally invasive procedure to treat TP pathology at earlier stages of PTTI. It is a technically demanding procedure that requires extensive experience in arthroscopic management of small joints and excellent knowledge of regional anatomy.
Keywords
Posterior tibial tendon dysfunction – surgery, complications; Arthroscopy – methods; Tendons – pathology, surgery; Ankle – surgery; Flatfoot – etiology; Treatment outcome
Hrčak ID:
172857
URI
Publication date:
30.6.2016.
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