{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:00:11Z","timestamp":1777611611829,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2001,12,1]],"date-time":"2001-12-01T00:00:00Z","timestamp":1007164800000},"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":[[2001,12]]},"abstract":"<jats:p>A retrospective case study format was used to evaluate the results of surgical treatment of severe deformities due to long-standing tibialis posterior tendon dysfunction. To be included in the study, the peri-talar (talonavicular) subluxation on a weight-bearing AP X-ray should have been at least 75%. This criterion limited the field to patients with long-standing, rigid, severe deformities.<\/jats:p>\n                  <jats:p>Surgical correction was obtained through a two-incision approach, dorsomedial and dorsolateral. Significant shortening of the medial column and extensive removal of adaptive bone formation was necessary to allow reduction of the hind- and midfoot deformity. Stable internal fixation using multiple screws was used to secure the reduction. Eleven patients, 12 feet were evaluated.<\/jats:p>\n                  <jats:p>The patients were evaluated using the American Orthopedic Foot and Ankle Society Ankle and Hindfoot Score as well as a questionnaire on footwear and satisfaction rating.<\/jats:p>\n                  <jats:p>The average score improved from 30 points pre-op to 74 points post-op (out of 100). P-value 0.0001.<\/jats:p>\n                  <jats:p>Pain score improved from 11\/40 to 33\/40. Function improved from 19\/50 to 33\/50. Alignment improved from 0\/10 to 8\/10.<\/jats:p>\n                  <jats:p>The radiological parameters showed an average improvement of 31\u00b0 in the lateral talo-1st metatarsal angle, 11\u00b0 in the calcaneal pitch, and 35\u00b0 in the AP talo-1st metatarsal angle. All three parameters were highly significant with P-values of 0.0001.<\/jats:p>\n                  <jats:p>Multiple complications occurred. This included two delayed unions with breakage of screws and partial loss of correction, four wound problems, two sural nerve impairments and three patients requiring hardware removal.<\/jats:p>\n                  <jats:p>Even though it is an extensive procedure with multiple potential complications it still offers a substantial improvement in quality of life.<\/jats:p>","DOI":"10.1177\/107110070102201202","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T12:05:06Z","timestamp":1484309106000},"page":"944-949","source":"Crossref","is-referenced-by-count":66,"title":["Surgical Management of Severe Deformity Resulting from Posterior Tibial Tendon Dysfunction"],"prefix":"10.1177","volume":"22","author":[{"given":"J. Chris","family":"Coetzee","sequence":"first","affiliation":[{"name":"Minneapolis, MN and Seattle, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigvard T.","family":"Hansen","sequence":"additional","affiliation":[{"name":"University of Washington, Harborview Medical Center, 325 9th Ave, 2A-48, Seattle, WA 98006"},{"name":"Minneapolis, MN and Seattle, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,12,1]]},"reference":[{"key":"bibr1-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B2.3958012"},{"key":"bibr2-107110070102201202","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199903000-00004"},{"key":"bibr3-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200302"},{"key":"bibr4-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199307000-00033"},{"key":"bibr5-107110070102201202","first-page":"1461","volume-title":"Disorers of the Foot and Ankle. Medical and Surgical Management","author":"Jahss MH","year":"1991"},{"key":"bibr6-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198307000-00021"},{"key":"bibr7-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"bibr8-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501601108"},{"key":"bibr9-107110070102201202","first-page":"453","volume":"5","author":"Ryerson EW","year":"1923","journal-title":"J Bone Joint Surg"},{"key":"bibr10-107110070102201202","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199309000-00044"},{"key":"bibr11-107110070102201202","first-page":"1651","volume":"316","author":"Thordarson DB","year":"1995","journal-title":"A biomechanical evaluation. Clin Orthop"},{"key":"bibr12-107110070102201202","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199510000-00011"},{"key":"bibr13-107110070102201202","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199911000-00006"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070102201202","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110070102201202","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070102201202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:19:59Z","timestamp":1777411199000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110070102201202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,12]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2001,12]]}},"alternative-id":["10.1177\/107110070102201202"],"URL":"https:\/\/doi.org\/10.1177\/107110070102201202","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,12]]}}}