{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:27:24Z","timestamp":1791973644748,"version":"4.4.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2001,4,1]],"date-time":"2001-04-01T00:00:00Z","timestamp":986083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2001,4]]},"abstract":"<jats:p>62 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFAS ankle-hindfoot scale was applied postoperatively to assess clinical outcome. Preoperative and postoperative standing radiographs of the foot and ankle were analyzed to determine radiographic correction of the pes planovalgus deformities.<\/jats:p>\n                  <jats:p>The mean follow-up to date is 5 years. The mean ankle-hindfoot score was 90 postoperatively. The medial cuneiform to fifth metatarsal distance improved from \u22120.2 mm preoperatively to 7.6 mm postoperatively. Similarly, the talonavicular distance improved from 19.4 mm preoperatively to 10.9 postoperatively. There were no nonunions. Four feet (14%) displayed radiographic signs of calcaneocuboid arthritis at follow-up. Only one was symptomatic requiring calcaneocuboid joint fusion.<\/jats:p>\n                  <jats:p>The double osteotomy technique provides symptomatic relief and lasting correction of the pes planovalgus deformity associated with stage 2 posterior tibial tendon insufficiency at intermediate follow-up. It has a high patient satisfaction based on the AOFAS ankle-hindfoot scale and radiographic measurements demonstrate maintenance of correction of the adult acquired flatfoot.<\/jats:p>","DOI":"10.1177\/107110070102200403","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T15:57:45Z","timestamp":1484323065000},"page":"283-291","source":"Crossref","is-referenced-by-count":113,"title":["Intermediate Follow-Up on the Double Osteotomy and Tendon Transfer Procedure for Stage II Posterior Tibial Tendon Insufficiency"],"prefix":"10.1177","volume":"22","author":[{"given":"Susan","family":"Moseir-LaClair","sequence":"first","affiliation":[{"name":"Susan Mosier-LaClair, M.D., Attending Orthopaedic Surgeon, Family Orthopedic Associates, 4466 West Bristol, Road Flint, MI 48507, Phone: (810) 733-1200, Fax: (810) 733-0688"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Pomeroy","sequence":"additional","affiliation":[{"name":"Gregory Pomeroy, M.D., Director, Portland Orthopaedic Foot & Ankle Center, Assistant Clinical Professor, University of New England, 254 Western Avenue, South Portland, ME 04106, Phone: (207) 774-3338, Fax: (207) 775-2307,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Arthur","family":"Manoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2001,4,1]]},"reference":[{"key":"bibr1-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110078400400509"},{"key":"bibr2-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B2.3958012"},{"key":"bibr3-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200302"},{"key":"bibr4-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800403"},{"key":"bibr5-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800915"},{"key":"bibr6-107110070102200403","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S1083-7515(23)00235-8","volume":"2","author":"Cracchiolo A.","year":"1997","journal-title":"Foot Ankle Clin."},{"key":"bibr7-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199908000-00006"},{"key":"bibr8-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000503"},{"key":"bibr9-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.57B3.270"},{"key":"bibr10-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(95)90006-3"},{"key":"bibr11-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199908000-00012"},{"key":"bibr12-107110070102200403","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668010-00012"},{"key":"bibr13-107110070102200403","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199705000-00006"},{"key":"bibr14-107110070102200403","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S1083-7515(23)00237-1","volume":"2","author":"Graves S.C.","year":"1997","journal-title":"Foot Ankle Clin."},{"key":"bibr15-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM194701302360502"},{"key":"bibr16-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900605"},{"key":"bibr17-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1177\/107110078200300308"},{"key":"bibr18-107110070102200403","first-page":"1506","volume-title":"Disorders of the Foot and Ankle: Medical and Surgical Management","author":"Jahss M.H.","year":"1991","edition":"2"},{"key":"bibr19-107110070102200403","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198307000-00021"},{"key":"bibr20-107110070102200403","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/00003086-198902000-00022","volume":"239","author":"Johnson K.A.","year":"1989","journal-title":"Clin. 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