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Tendon Repairs and Transfers for the Foot and Ankle, An Issue of Clinics in Podiatric Medicine & Surgery, E-Book

Tendon Repairs and Transfers for the Foot and Ankle, An Issue of Clinics in Podiatric Medicine & Surgery, E-Book

Christopher L Reeves

(2016)

Additional Information

Book Details

Abstract

In this issue, articles will include: Tendon transfers for the acute Achilles Tendon rupture and chronic Achilles Tendon pathology, Tendon transfers and salvaging options for Hallux Varus Deformities, Peroneal tendon transfers and rupture repairs, Principles and Biomechanical considerations of tendon transfers, Youngs Tenosuspension and many more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Tendon Reconstruction and Transfers of the Foot and Ankle \r i
Copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Consulting Editor iii
Editorial Board Members - USA iii
Editorial Board Members - International iii
Contributors v
Consulting Editor v
Editor v
Authors v
Contents ix
Foreword: Tendon Reconstruction and Transfers of the Foot and Ankle\r ix
Preface: A New Look at Tendon Transfers and Soft Tissue Management in Foot and Ankle Reconstruction\r ix
Principles and Biomechanical Considerations of Tendon Transfers\r ix
Flexor Digitorum Longus Tendon Transfer and Modified Kidner Technique in Posterior Tibial Tendon Dysfunction\r ix
Tibialis Anterior Tendon Transfer for Posterior Tibial Tendon Insufficiency\r ix
Posterior Tibial Tendon Transfer\r ix
Tibialis Anterior Tendon Transfer\r x
Jones Tendon Transfer\r x
Hibbs Tenosuspension\r x
Tendon Transfers for Management of Digital and Lesser Metatarsophalangeal Joint Deformities\r x
Tendon Transfers and Salvaging Options for Hallux Varus Deformities \r xi
Soft Tissue Balancing After Partial Foot Amputations\r xi
Flexor Hallucis Longus Tendon Transfer for Calcific Insertional Achilles Tendinopathy \r xi
Combined Tendon and Bone Allograft Transplantation for Chronic Achilles Tendon Ruptures\r xi
Surgical Correction of Rigid Equinovarus Contracture Utilizing Extensive Soft Tissue Release\r xii
Catastrophic Failure of an Infected Achilles Tendon Rupture Repair Managed\rwith Combined Flexor Hallucis Longus and Peroneus Brevis Tendon Transfer\r xii
Complications of Tendon Surgery in the Foot and Ankle\r xii
CLINICS IN PODIATRIC\rMEDICINE AND SURGERY\r xiii
Forthcoming Issues xiii
April 2016 xiii
July 2016 xiii
October 2016 xiii
Recent Issues xiii
October 2015 xiii
July 2015 xiii
April 2015 xiii
January 2015 xiii
Foreword: Tendon Reconstruction and Transfers of the Foot and Ankle \r xv
Preface: A New Look at Tendon Transfers and Soft Tissue Management in Foot and Ankle Reconstruction \r xvii
Principles and Biomechanical Considerations of Tendon Transfers 1
Key points 1
INTRODUCTION 1
TENDON ANATOMY 1
Histology 2
Blood Supply 2
Innervation 3
Tendon Strength 3
PATIENT EVALUATION 4
Patient Selection 5
Patient Goals 5
The Role of Physical Therapy 6
Preoperative Muscle Evaluation 6
RULES OF TENDON TRANSFERS 7
The Absence of Fixed Deformity 7
Suitable Soft Tissue Bed 8
Selection of Donor Tendon with Similar Strength and Excursion 8
Expendable Donor 9
Straight Line of Pull 9
Synergy 9
Single Function per Transfer 9
INTRAOPERATIVE CONSIDERATIONS TO IMPROVE OUTCOMES 9
Reduction of Adhesions 10
FIXATION TECHNIQUES 10
POSTOPERATIVE CONSIDERATIONS 11
Immobilization 11
Rehabilitation Process 11
SUMMARY 12
REFERENCES 12
Flexor Digitorum Longus Tendon Transfer and Modified Kidner Technique in Posterior Tibial Tendon Dysfunction 15
Key points 15
INTRODUCTION 15
MODIFIED KIDNER PROCEDURE 16
Operative Technique 16
Postoperative Course 16
FLEXOR DIGITORUM LONGUS TENDON TRANSFER 17
Operative Technique 18
Postoperative Course 18
SUMMARY 19
REFERENCES 20
Tibialis Anterior Tendon Transfer for Posterior Tibial Tendon Insufficiency 21
Key points 21
INTRODUCTION 21
HISTORICAL PERSPECTIVE 22
INDICATIONS 22
COBB TECHNIQUE 22
ADJUNCTIVE PROCEDURES 25
Medial Displacement Calcaneal Osteotomy 25
Lateral Column Lengthening 26
First Tarsometatarsal Arthrodesis 27
Naviculocuneiform Arthrodesis 28
SUMMARY 28
REFERENCES 28
Posterior Tibial Tendon Transfer 29
Key points 29
INTRODUCTION 29
ANATOMY AND BIOMECHANICS 30
INDICATIONS 31
PREOPERATIVE CONSIDERATIONS 31
PROCEDURE THEORY 32
OPERATIVE TECHNIQUE 32
POSTOPERATIVE CARE 36
COMPLICATIONS 37
DISCUSSION 38
REFERENCES 39
Tibialis Anterior Tendon Transfer 41
Key points 41
INTRODUCTION 41
Pathomechanics 42
Indications 42
Contraindications 42
SURGICAL TECHNIQUE 43
Preoperative Planning 43
Preparation and Patient Positioning 44
Operative Approach 44
Operative Procedure 45
Tibialis anterior tendon transfer 45
Split tibialis anterior tendon transfer 47
Surgical Closure 47
Immediate Postoperative Care 47
REHABILITATION AND RECOVERY 47
COMPLICATIONS 48
CLINICAL RESULTS IN THE LITERATURE 48
SUMMARY 51
REFERENCES 52
Jones Tendon Transfer 55
Key points 55
INTRODUCTION 55
INDICATION/ETIOLOGY 56
CLINICAL EVALUATION 57
JONES TENDON TRANSFER SURGERY 58
ADJUNCT PROCEDURES 60
POSTOPERATIVE MANAGEMENT 61
DISCUSSION 61
CONCLUSION 62
REFERENCES 62
Hibbs Tenosuspension 63
Key points 63
INTRODUCTION 63
PATHOMECHANICS 63
SURGICAL TECHNIQUE 64
COMPLICATIONS 66
Tendon Transfers for Management of Digital and Lesser Metatarsophalangeal Joint Deformities 71
Key points 71
INTRODUCTION 71
CAUSATIVE FACTORS 72
DIAGNOSIS 74
CONSERVATIVE TREATMENT 75
SURGICAL TREATMENT 75
Preoperative Planning 75
SURGICAL TECHNIQUE 76
Patient Preparation and Positioning 76
FLEXOR DIGITORUM LONGUS TENDON TRANSFER (ONE INCISION) 76
FLEXOR DIGITORUM LONGUS TENDON TRANSFER (2 INCISIONS) 78
FLEXOR DIGITORUM LONGUS TENDON TRANSFER (3 INCISIONS) 79
EXTENSOR DIGITORUM LONGUS TENDON TRANSFER 80
EXTENSOR DIGITORUM BREVIS TENDON TRANSFER 80
REHABILITATION AND RECOVERY 80
COMPLICATIONS 81
CLINICAL RESULTS IN THE LITERATURE 81
SUMMARY 82
SUPPLEMENTARY DATA 83
REFERENCES 83
Tendon Transfers and Salvaging Options for Hallux Varus Deformities 85
Key points 85
INTRODUCTION 85
INDICATION 86
EXTENSOR HALLUCIS LONGUS TRANSFER 88
ABDUCTOR HALLUCIS TRANSFER 88
FIRST DORSAL INTEROSSEOUS TRANSFER 91
SPLIT EXTENSOR HALLUCIS LONGUS TRANSFER 91
REVERSE ABDUCTOR HALLUCIS TRANSFER 92
EXTENSOR HALLUCIS BREVIS TENODESIS 95
SUMMARY 97
REFERENCES 97
Soft Tissue Balancing After Partial Foot Amputations 99
Key points 99
Introduction 99
Surgical planning 100
Transmetatarsal amputation 101
Lisfranc amputation 102
Chopart amputation 102
Ankle and subtalar arthrodesis 103
Gastrocnemius-soleus complex 103
Percutaneous Tendo-Achilles Lengthening 103
Gastrocnemius Recession 104
Tenotomy/Tenectomy 105
Anterior tibial tendon 106
Peroneal tendons 107
Other procedures 108
Complications 108
Postoperative care 109
Summary 109
References 109
Flexor Hallucis Longus Tendon Transfer for Calcific Insertional Achilles Tendinopathy 113
Key points 113
Introduction 113
Cause 114
Nonoperative management 114
Preoperative evaluation 115
Surgical management 116
Calcaneal osteotomy 121
Postoperative management 121
Supplementary data 122
References 122
Combined Tendon and Bone Allograft Transplantation for Chronic Achilles Tendon Ruptures 125
Key points 125
Introduction 125
History 126
Physical examination 126
Imaging 127
Rationale for transplantation bone-tendon allograft 127
Surgical technique 127
Postoperative care 134
Discussion 135
References 137
Surgical Correction of Rigid Equinovarus Contracture Utilizing Extensive Soft Tissue Release 139
Key points 139
Introduction 140
Cause 140
Biomechanics 140
Clinical presentation 141
Clinical evaluation 141
Surgical techniques 142
Preoperative Considerations 142
Correction of Achilles Tendon Contracture 142
Correction of Flexor Hallucis Longus, Flexor Digitorum Longus, and Tibialis Posterior Tendon Contractures with Tarsal Tunne ... 143
Correction of Posterior Capsular Contracture 143
Correction of Peroneus Longus and Peroneus Brevis Tendon Contractures 143
Plantar Fascial Release 144
Skin Plasty with Pie-Crusting Technique 144
Complications 145
Case Report 1 145
Case Report 2 147
Case Report 3 149
Summary 152
References 152
Catastrophic Failure of an Infected Achilles Tendon Rupture Repair Managed with Combined Flexor Hallucis Longus and Peroneu ... 153
Key points 153
Introduction 153
Case report 154
Surgical technique 154
First surgery: débridement 155
Second surgery: restoration of plantarflexion 156
Third surgery: closure 158
Rehabilitation and recovery 159
Discussion 160
Summary 161
References 162
Complications of Tendon Surgery in the Foot and Ankle 163
Key points 163
Introduction 163
Risk of tobacco use 164
Risk of tendon surgery in patients with diabetes 165
Complications in peroneal tendon surgery 167
Complications in Achilles tendon surgery 168
Summary 172
References 172
Index 177