Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon
Clinics in Orthopedic Surgery
;
: 232-238, 2017.
Article
in English
| WPRIM
| ID: wpr-43214
ABSTRACT
BACKGROUND:
The 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.METHODS:
We 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).RESULTS:
The 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.CONCLUSIONS:
Recurrent 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Congenital Abnormalities
/
Tendons
/
Follow-Up Studies
/
Visual Analog Scale
/
Foot
/
Ankle
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Clinics in Orthopedic Surgery
Year:
2017
Type:
Article
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