
Foot & Ankle⎜Posterior Tibial Tendon Insufficiency (PTTI)
The Orthobullets Podcast
00:00
How to Correct a Deficient Posterior Tibia
A hindfoot arthordesis is indicated in the setting of stage three disease. It's also indicated for stage two disease with severe subtailor arthritis. Another alternative to an FTL transfer is an FHL transfer, which is more complicated to mobilize and has not shown improved results. The techniques include medial displacement calcaneal osteotomy, or an MDCO,. A tendo-akylis lengthening, or gastrocnemius recession, this is indicated for Aquinas contracture.
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