Endoscopic assisted flexor digitorum longus transfer in flexible flatfoot

Abstract

Background: Posterior tibial tendon insufficiency is the commonest cause of adult flexible flatfoot. Transfer of the flexor digitorum longus (FDL) has been described a therapeutic arsenal in flexible flat feet and posterior tibial tendon disorders. It is often combined with bony procedure (open or percutaneous calcaneal osteotomy).

Methods: We describe a technique and the steps endoscopic approach of FDL transfer.

Results: The procedure is able to be performed safely and reproducible under perfect viewing CONCLUSION: In the future with a clinical study investigating, we purpose the results of such surgery in a cohort of patients with flexible flatfoot. Level IV Therapeutic study: case serie. No funding was received for this research project.

Keywords: Endoscopy Flatfoot; Posterior tibial tendon; Tendon transfer Arthroscopy.