Evaluation of the Kidner Procedure in Treatment of Symptomatic Accessory Tarsal Scaphoid

Veitch, John M.

doi:10.1097/00003086-197803000-00033

Cited by 27 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the authors noted that all the feet had pes planovalgus or hindfoot valgus deformity, and all patients showed degenerative changes of the TP tendon at its reattachment site. Although several articles have reported on patients with persistent symptoms after the Kidner procedure, no current literature reviews the possible treatment options and outcomes in these patients 3111516). The authors believe that this is the first review of revision surgery for persistent pain after the Kidner procedure.…”

Section: Discussionmentioning

confidence: 93%

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Choi

Lee

2017

Clin Orthop Surg

View full text Add to dashboard Cite

BackgroundThe results of operative treatments for symptomatic accessory navicular are debatable. In some cases, recurrent pain may develop after the Kidner procedure. The purpose of this study is to review the reasons for recurrent pain after the Kidner procedure and to suggest possible options for revision surgery.MethodsWe reviewed the clinical and radiological outcomes in 9 patients who underwent revision surgery for recurrent pain after the Kidner procedure. During the revision surgery, the tibialis posterior tendon was reattached to the navicular either by advancing the tendon in 4 patients or by lengthening the tendon in another 4 patients. In the other 1 patient, the flexor digitorum longus tendon was transferred. Surgeries for the accompanying deformities were performed simultaneously in all patients. The results were evaluated using the American Orthopaedic Foot and Ankle Society ankle-hindfoot score and a visual analog scale. The mean follow-up was 2.3 years (range, 1 to 5 years).ResultsThe mean American Orthopedic Foot and Ankle Society ankle-hindfoot score improved from 71.25 to 81.50 in the advancement group, and 71.75 to 90.00 in the lengthening group. The mean visual analog scale improved from 7.75 to 4.25 in the advancement group and from 7.50 to 1.75 in the lengthening group.ConclusionsRecurrent pain after the Kidner procedure was associated with pes planovalgus or hindfoot valgus deformity. In revision surgery, correction of the associated deformities and reattachment of the tibialis posterior tendon after lengthening may need to be considered.

show abstract

Section: Discussionmentioning

confidence: 93%

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Choi

Lee

2017

Clin Orthop Surg

View full text Add to dashboard Cite

show abstract

“…5,7-10,12 Yet none of these variations have been successful in addressing the planovalgus deformity, raising questions about the role of the PTT in supporting the arch. 1,4,6,11,13,14 Arthroereisis has been used for quite a long time in children with great results. It has been shown to correct flexible flatfeet and restore the medial longitudinal arch.…”

Section: Resultsmentioning

confidence: 99%

“…Accepted surgical treatments for such patients include simple excision of the accessory bone from within the PTT, screw fixation of the accessory bone to the native navicular, 7,8 or excision with detachment, advancement and reattachment of the PTT, also known as the Kidner procedure. 1,[5][6][7][9][10][11] The Kidner procedure was first described in 1929 by Dr Frederick Clinton Kidner and has had great success in alleviating pain in patients with a symptomatic accessory navicular recalcitrant to nonoperative treatments. 5,9,10,12 However, it has been shown that the Kidner procedure alone fails to correct the flattening of the arch, except in very young children where correction was attributed to growth rather than the procedure itself.…”

Section: Historical Perspectivementioning

confidence: 99%

“…5,9,10,12 However, it has been shown that the Kidner procedure alone fails to correct the flattening of the arch, except in very young children where correction was attributed to growth rather than the procedure itself. 1,4,6,11,13,14 Currently accepted surgical management of planovalgus deformity involves various soft tissue and bony procedures. Subtalar arthroereisis should be considered part of that group of procedures.…”

Section: Historical Perspectivementioning

confidence: 99%

See 1 more Smart Citation

Combined Modified Kidner Procedure With Subtalar Arthroereisis for the Correction of Painful Accessory Navicular Associated With Planovalgus Deformity

Garras

Raikin

2012

Techniques in Foot &Amp; Ankle Surgery

View full text Add to dashboard Cite

A type 2 accessory navicular is associated with a planovalgus deformity in over one third of cases. Surgical treatment for symptomatic patients who have failed nonoperative care involves resection of the os, with or without takedown and reattachment of the tibialis posterior tendon. This does not address the planovalgus deformity that may lead to long-term dysfunction. Combining subtalar arthroereisis to correct the planovalgus deformity with a modified Kidner procedure leads to improvement of pain and function and correction of the deformity. In this article, we describe our technique for the combined procedure and address concerns with proper placement of the arthroereisis implant.

show abstract

“…The accessory navicular is classified into three types (37). Type 1 is defined as a small accessory bone within the distal posterior tibialis tendon with no cartilage connection to the navicular tuberosity, appearing to be a sesamoid bone.…”

Section: The Journal Of Medical Investigation Vol 62 August 2015mentioning

confidence: 99%

State-of-the-art ultrasonographic findings in lower extremity sports injuries

et al. 2015

View full text Add to dashboard Cite

: Athletes sometimes experience overuse injuries. To diagnose these injuries, ultrasonography is often more useful than plain radiography, computed tomography (CT), or magnetic resonance imaging (MRI). Ultrasonography can show both bone and soft tissue from various angles as needed, providing great detail in many cases. In conditions such as osteochondrosis or enthesopathies such as Osgood-Schlatter disease, SindingLarsen-Johansson disease, bipartite patella, osteochondritis dissecans of the knee, painful accessory navicular, and jumper's knee, ultrasonography can reveal certain types of bony irregularities or neovascularization of the surrounding tissue. In patients of enthesopathy, ultrasonography can show the degenerative changes at the insertion of the tendon. Given its usefulness in treatment, ultrasonography is expected to become essential in the management of overuse injuries affecting the lower limb in athletes.

show abstract

Evaluation of the Kidner Procedure in Treatment of Symptomatic Accessory Tarsal Scaphoid

Cited by 27 publications

References 0 publications

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Combined Modified Kidner Procedure With Subtalar Arthroereisis for the Correction of Painful Accessory Navicular Associated With Planovalgus Deformity

State-of-the-art ultrasonographic findings in lower extremity sports injuries

Contact Info

Product

Resources

About