+ Reply to Thread
Results 1 to 3 of 3

Thread: New Surgery Improves Flat Foot Outcomes

  1. #1

    Join Date
    Aug 2010
    Posts
    7

    New Surgery Improves Flat Foot Outcomes

    Interesting article about improving outcomes in patients with severe adult flat foot deformity

    http://news.nurse.com/article/201008...2/-1/frontpage

  2. #2
    Interesting modification (eg. to add reconstruction of the deltoid ligament in the operative management of advanced flatfoot deformities).
    Evidence based medicine would, however, require a comparative study, in order to draw definite conclusions.
    Furthermore, I would ask: Do all these patients require this additional procedure that -potentially- sacrifices peroneus longus?
    Was the deltoid ligament always deficient?
    In my view, if tibialis posterior is reconstructed using FDL (tendon transfer), dissecting distally to the knot of Henry to obtain enough length, to allow strong tightening of FDL into itself, (passing it through a navicular tunnel), good support of the medial arch is achieved (and no other procedure is needed).

  3. #3
    Junior Member
    Join Date
    Aug 2011
    Posts
    1
    I do agree with Dr. Gougoulias. I wonder if an investigation was performed to demostrate the insuffiiciency of Deltoid ligament preoperatively? I donot agree to sacrifice of PL for reconstruction in healthy individuals. PL has a very important role in foot mechanics.

+ Reply to Thread

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts