A modified method for reconstruction of posterior tibial tendon after resection of juvenile painful type II accessory navicular

BackgroundThe surgical treatment of accessory navicular (AN) is divided into simple resection of AN and Kidner surgery used to reconstruct posterior tibial tendon (PTT) after AN resection. However, both of these procedures have certain disadvantages. Herein, we proposed a modified method to reconstr...

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Bibliographic Details
Published in:Journal of orthopaedic surgery and research 2023-11, Vol.18 (1), p.1-912, Article 912
Main Authors: Gong, Haoli, Xie, Yuyin, Song, Zhenqi, Tang, Zhongwen, Wen, Jie, Xiao, Sheng
Format: Article
Language:English
Subjects:
Ankle
AOFAS-AH
Asymptomatic
Cartilage
Children & youth
Foot diseases
Girls
Juvenile type II accessory navicular
Meary angle
Nonparametric statistics
Orthopedics
Patients
Pitch angle
Posterior tibial tendon reconstruction
Radiography
Reconstructive surgery
Statistical analysis
Surgery
Sutures
Weight
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Summary:BackgroundThe surgical treatment of accessory navicular (AN) is divided into simple resection of AN and Kidner surgery used to reconstruct posterior tibial tendon (PTT) after AN resection. However, both of these procedures have certain disadvantages. Herein, we proposed a modified method to reconstruct PTT and compared the short-term clinical effect of our method with the modified Kidner procedure.MethodsWe collected data from 23 adolescent children with painful type II AN treated in our department between January 2015 and June 2020. The American Orthopedic Foot and Ankle Society Ankle-Hind foot (AOFAS-AH) Scores, the Meary Angle, and Pitch Angle of the lateral weight-bearing plain radiographs status were recorded before and after the operation to evaluate the treatment outcomes.ResultsIn the modified Kidner surgery (MK) group, the median AOFAS-AH increased from 61 (59–68) to 87 (83–91) (P 
ISSN:1749-799X
1749-799X
DOI:10.1186/s13018-023-04383-3