We developed a modified Young’s tenosuspension in conjunction with the Kidner procedure that avoids keyhole creation, simplifies tendon rerouting while maintaining a plantar-medial directed tibialis anterior vector to reduce its first-ray dorsiflexory moment, and uses a locking-running suture construct for fixation. This technique is a technically accessible, reproducible, and adoptable option for dynamic medial arch support.
References
[1]
Green, D.R. and Colson, J. (1995) The Young’s Tenosuspension (Chapter 1). In: Surgery of the Foot and Leg: Update 1995, The Podiatry Institute.
[2]
Young, C.S. (1939) Operative Treatment of PES planus. Surgery, Gynecology & Obstetrics, 68, 1099-1101.
[3]
Meyer, J.T., Menke, A.J.A. and Ruch, J.A. (2011) A Modified Approach for a Medial Arch Tenosuspension (The Podiatry Institute Update 2011, No. 07). The Podiatry Institute.
[4]
Dragonetti, L., Ingraffia, C. and Stellari, F. (1997) The Young Tenosuspension in the Treatment of Abnormal Pronation of the Foot. The Journal of Foot and Ankle Surgery, 36, 409-413. https://doi.org/10.1016/s1067-2516(97)80090-7
