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Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction.
Clin Podiatr Med Surg. 1999 Jul; 16(3):501-26.CP

Abstract

The awareness of PTTD has increased because of the efforts of McGlamry and Mueller. The treatment for PTTD depends on the patient's age and weight, systemic factors, length of time of the disease course, and the extent of foot collapse. The period of time from injury to diagnosis often is delayed because of the gradual progression of the condition. The patient that presents with an acute injury often responds well to a soft-tissue procedure. The delay in treatment usually necessitates the performance of an osseous procedure to correct the deformity and align the foot. The talonavicular arthrodesis is indicated in the flexible flatfoot deformity when degenerative changes of the subtalar joint are not present. The talonavicular arthrodesis is effective for correcting the flexible flatfoot deformity because it reduces the forefoot abduction, increases the height of the arch, stabilizes the medial column, and prevents excessive subtalar joint pronation. The primary complications associated with the talonavicular arthrodesis are nonunions and development of arthritis in adjacent joints. The incidence of nonunion can be directly attributed to poor surgical technique and early weight bearing during the postoperative period. The degenerative changes that occur in adjacent joints are often present preoperatively because of the long-standing valgus deformity. The procedure effectively maintains the correction of the flatfoot over a long period of time, and allows the patient to return to a pain-free lifestyle. The talonavicular arthrodesis is the procedure of choice in the flexible flatfoot deformity because the procedure corrects the malalignment of the subtalar and midtarsal joints and prevents excessive subtalar joint pronation.

Authors+Show Affiliations

American College of Foot and Ankle Surgeons, Augusta, Georgia, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

10470512

Citation

Mothershed, R A., et al. "Talonavicular Arthrodesis for Correction of Posterior Tibial Tendon Dysfunction." Clinics in Podiatric Medicine and Surgery, vol. 16, no. 3, 1999, pp. 501-26.
Mothershed RA, Stapp MD, Smith TF. Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction. Clin Podiatr Med Surg. 1999;16(3):501-26.
Mothershed, R. A., Stapp, M. D., & Smith, T. F. (1999). Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction. Clinics in Podiatric Medicine and Surgery, 16(3), 501-26.
Mothershed RA, Stapp MD, Smith TF. Talonavicular Arthrodesis for Correction of Posterior Tibial Tendon Dysfunction. Clin Podiatr Med Surg. 1999;16(3):501-26. PubMed PMID: 10470512.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction. AU - Mothershed,R A, AU - Stapp,M D, AU - Smith,T F, PY - 1999/9/2/pubmed PY - 1999/9/2/medline PY - 1999/9/2/entrez SP - 501 EP - 26 JF - Clinics in podiatric medicine and surgery JO - Clin Podiatr Med Surg VL - 16 IS - 3 N2 - The awareness of PTTD has increased because of the efforts of McGlamry and Mueller. The treatment for PTTD depends on the patient's age and weight, systemic factors, length of time of the disease course, and the extent of foot collapse. The period of time from injury to diagnosis often is delayed because of the gradual progression of the condition. The patient that presents with an acute injury often responds well to a soft-tissue procedure. The delay in treatment usually necessitates the performance of an osseous procedure to correct the deformity and align the foot. The talonavicular arthrodesis is indicated in the flexible flatfoot deformity when degenerative changes of the subtalar joint are not present. The talonavicular arthrodesis is effective for correcting the flexible flatfoot deformity because it reduces the forefoot abduction, increases the height of the arch, stabilizes the medial column, and prevents excessive subtalar joint pronation. The primary complications associated with the talonavicular arthrodesis are nonunions and development of arthritis in adjacent joints. The incidence of nonunion can be directly attributed to poor surgical technique and early weight bearing during the postoperative period. The degenerative changes that occur in adjacent joints are often present preoperatively because of the long-standing valgus deformity. The procedure effectively maintains the correction of the flatfoot over a long period of time, and allows the patient to return to a pain-free lifestyle. The talonavicular arthrodesis is the procedure of choice in the flexible flatfoot deformity because the procedure corrects the malalignment of the subtalar and midtarsal joints and prevents excessive subtalar joint pronation. SN - 0891-8422 UR - https://www.unboundmedicine.com/medline/citation/10470512/Talonavicular_arthrodesis_for_correction_of_posterior_tibial_tendon_dysfunction_ L2 - https://medlineplus.gov/muscledisorders.html DB - PRIME DP - Unbound Medicine ER -