Role of Tendoscopy in Treating Stage II Posterior Tibial Tendon Dysfunction

Bernasconi, Alessio; Sadile, Francesco; Welck, Matthew; Mehdi, Nazim; Laborde, Julien; Lintz, François

doi:10.1177/1071100717746192

Cited by 20 publications

(17 citation statements)

References 69 publications

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“…Our case series reported an improvement in VAS scores for pain from 7 points at baseline (preoperative) to 1.27 points at 24 months. This notable difference is consistent with the findings of Bernasconi et al (17) , who reported an improvement in VAS mean scores from 7.9 to 3.5 points and found low complication rates after the procedure.…”

Section: Discussionsupporting

confidence: 92%

“…Gianakos et al (19) , in a study assessing 12 patients (8 with stage I PTTD and 4 with stage II PTTD), showed that 75% of patients had good outcomes. Similarly, Bernasconi et al (17) reported 75% of positive outcomes among 16 patients with stage II PTTD. Positive outcomes were achieved in 90% of our series; moreover, of the 6 cases of PTTD, 4 were classified as stage I and two as stage IIa.…”

Section: Surgical Management Of Stage I Pttd Consisted Of Synovectomymentioning

confidence: 87%

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Tendoscopic management of posterior tibial tendinitis

Auellar-Avaroma

King-Martínez

2020

J Foot Ankle

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Objective: The aim of this study was to present a case series of patients undergoing posterior tibial tendoscopy, assess their clinical outcome, and describe surgical findings and treatment complications. Methods: This is a clinical, retrospective, observational study of 11 consecutive cases of tenosynovitis of the posterior tibial tendon. All 11 patients underwent tendoscopy of the posterior tibial tendon. All procedures were performed by the same surgeon in 2 different hospitals. Minimum follow-up was 2 years. Results: All patients had their preoperative and postoperative AOFAS and VAS scores assessed. Both scores had an important improvement at 12 months that persisted at 24 months. Moreover, 72.72% of the patients were very satisfied with the procedure, and no patient reported to be dissatisfied. Additionally, 90.91% of the patients had no postoperative complications. The present results are consistent with those previously reported in the literature. Conclusion: Endoscopic or tendoscopic repair of the posterior tibial tendon is a simple and reproducible procedure that provides good functional and cosmetic outcomes with a low complication rate. It is important to increase the number of patients in this series in order to expand our conclusions. Level of Evidence IV; Therapeutic Studies; Case Series.

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Section: Discussionsupporting

confidence: 92%

Section: Surgical Management Of Stage I Pttd Consisted Of Synovectomymentioning

confidence: 87%

Tendoscopic management of posterior tibial tendinitis

Auellar-Avaroma

King-Martínez

2020

J Foot Ankle

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“…The diagnosis of stage 2 PTTD is confirmed clinically and radiologically. Magnetic resonance imaging and ultrasonography are useful in detecting PTT lesions 12 . However, tendoscopy is more effective than magnetic resonance imaging for detection of a spring ligament tear 12, 14…”

Section: Techniquementioning

confidence: 99%

“…Endoscopic synovectomy has also been used in management of stage 2 PTTD and can allow for continued conservative therapy while avoiding more invasive surgery in most cases. 10 , 12 In contrast to stage 1 disease, calcaneal and medial column osteotomies may be needed in addition to the endoscopy with synovectomy. 10 Recently, a technique of endoscopically assisted PTT reconstruction has been reported.…”

mentioning

confidence: 99%

“…This approach avoids the need for a long incision, extensive soft tissue dissection, and postoperative immobilization. Endoscopic synovectomy has also been used in management of stage 2 PTTD and can allow for continued conservative therapy while avoiding more invasive surgery in most cases 10, 12. In contrast to stage 1 disease, calcaneal and medial column osteotomies may be needed in addition to the endoscopy with synovectomy 10 .…”

mentioning

confidence: 99%

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Endoscopically Assisted Reconstruction of Posterior Tibial Tendon for Stage 2 Posterior Tibial Tendon Dysfunction

Liang

Lui²

2019

Arthroscopy Techniques

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The posterior tibial tendon functions as a primary stabilizer of the medial longitudinal arch of the foot. Posterior tibial tendon dysfunction accounts for 80% of cases of adult-acquired flatfoot deformity. It is classified into 4 stages based on the function of the tibialis posterior tendon, the reducibility of the deformity, and the condition of the ankle joint. The purpose of this Technical Note is to describe the technical details of endoscopically assisted reconstruction of theposterior tibial tendon for stage 2 posterior tibial tendon dysfunction. It consists of using the medial half of the anterior tibialis tendon as a primary transfer and augmentation by the flexor digitorum longus. This construct is then protected with a subtalar arthroereisis.

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