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been described including soft-tissue release or lengthening and tendon transfers, hindfoot or midfoot osteotomy, or arthrodesis. Soft-tissue procedures Initially, the deformities are flexible and reversible but if the muscle imbalance remains
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deformities and found patient satisfaction to be 87%. 58 After a tendon transfer it is important to mobilise early, but the risk of stiffness must be balanced against the risk of recurrence. 24 For fixed PIPJ deformities the PIPJ is excised or fused
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digitorum longus tendon transfer may help to restore tibialis posterior tendon function, while a spring ligament plication aims to reinforce the medial position of the talar head. 24 , 40 In more advanced forms, a peroneal tendon transfer is indicated
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decelerate or halt progression of the ankle arthritis. There are few reports about the effect of static balancing (ligament repair) 30 or dynamic balancing (tendon transfer, etc.) 18 on ankle asymmetrical arthritis. 31 However, ankle
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tendon transfer (commonly flexor hallucis longus (FHL)). 94 Open surgery has shown varying success rates of between 50% and 100%, 95 - 98 with surgery for intratendinous lesions and late-presenting lesions showing significantly fewer good
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Int 2004;25:695-707). 50 Peroneal tendon rupture Where both tendons are degenerate and reconstruction using the above methods not feasible, the options available include tendon transfer, auto or allograft. If there sufficient peroneal
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posterior tendon dysfunction . Clin Orthop Relat Res 1989 ; 196 - 206 . 26. Myerson MS , Corrigan J . Treatment of posterior tibial tendon dysfunction with flexor digitorum longus tendon transfer and calcaneal osteotomy
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between triceps and extensors even after tendon transfer), with the development of painful callosities. Quality of skin coverage is a concern when one cannot keep plantar soft tissues. In children, the hind-foot should be stabilised by fixation of the
