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KMID : 1130920140180030093
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Journal of Korean Foot and Ankle Society
2014 Volume.18 No. 3 p.93 ~ p.99
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Operative Treatment of Acquired Adult Flatfoot
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Ahn Chi-Young
Ahn Jae-Hoon
Kim Man-Soo
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Abstract
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Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.
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KEYWORD
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Acquired adult flatfoot deformity, Posterior tibial tendon, Flexor digitorum longus tendon transfer, Calcaneal medial slide osteotomy, Lateral column lengthening
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