The remaining ribbons are tied off at the apex of the screw and cut off
Long toe flexor transposition
Transposition of the long toe flexor from the tenodesis to the heel bone (FDL transfer)
The operation is indicated in patients with dysfunction (post-traumatic or degenerative) of the tibial tendon involved in maintaining the longitudinal arch of the foot.
Surgical access is along the inner edge of the foot with a view of the wedge joint of the heel bone.
The medial fascia is then severed. The long toe flexor tendon is identified, severed, and clamped.
A canal is created in the inferior-basal surface of the navicular bone with a guide wire under X-ray control.
Depending on the size of the tendon, a canal of the appropriate diameter is drilled into the navicular bone.
Mark the length of the end of the tendon to be countersunk into the hole in the navicular bone.
Suture the dangling end of the tendon at the length of the biodegradable screw and secure with a loop to the end of the cannulated screwdriver
The tip of the hex driver inserts the end of the tendon into the hole. The screw is tightened with the foot in maximum plantar flexion and supination to provide the necessary tension on the tendon
- scaphoid in the foot.
- Completion of the scaphoid on the foot.
- Pain in the long extensor of the big toe.
- Equino valgus.
- Deflection of the first toe.
- Fracture of the calcaneus of the foot.
- Tendonitis on the 1st toe.
- metatarsal bones.
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