{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:59:46Z","timestamp":1790539186218,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[1995,11,1]],"date-time":"1995-11-01T00:00:00Z","timestamp":815184000000},"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":[[1995,11]]},"abstract":"<jats:p>We present the radiographic results after flexor digitorum longus tendon transfer combined with a medial displacement calcaneal osteotomy for the treatment of posterior tibial tendon insufficiency. Eighteen patients with posterior tibial tendon insufficiency were reviewed from 12 to 26 months after surgery. The 15 women and 3 men had a mean age of 54 years (range, 38\u201372 years). The talar-first metatarsal and talonavicular coverage angles were measured before and after surgery on the anteroposterior weightbearing radiographs. The mean preoperative talar-first metatarsal and talonavicular coverage angles were 21\u00b0 (range, 3\u201345\u00b0) and 34\u00b0 (range, 0\u201355\u00b0), respectively. The mean postoperative values for these angles were 8.5\u00b0 (range, 0\u201335\u00b0) and 21\u00b0 (range, \u221230\u201345\u00b0), respectively. The mean talar-first metatarsal angle decreased from 21\u00b0 to 8.5\u00b0, a mean improvement of 12.5\u00b0, and the mean talonavicular coverage angle decreased from 34\u00b0 to 21\u00b0, a mean improvement of 13\u00b0. On the lateral weightbearing radiographs, the talar-first metatarsal angle and the distance from the medial cuneiform to the floor were measured before and after surgery. The mean preoperative values were \u221222\u00b0 (range, \u221210 to \u221240\u00b0) and 9 mm (range, 1\u201319 mm), respectively. The mean postoperative values were \u22129\u00b0 (range, +5 to \u221225\u00b0) and 16 mm (range, 10\u201328 mm), respectively. The mean talar-first metatarsal angle decreased from \u221222 to \u22129\u00b0 (a mean improvement of 13\u00b0), and the distance from the medial cuneiform to the floor increased from 9 to 16 mm (a mean improvement of 7 mm). We conclude that the use of a combined medial displacement osteotomy of the calcaneus with a tendon transfer for treatment of posterior tibial tendon insufficiency may offset the inherent weakness of the flexor digitorum longus transfer by reducing the antagonistic deforming force of heel valgus.<\/jats:p>","DOI":"10.1177\/107110079501601108","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"712-718","source":"Crossref","is-referenced-by-count":227,"title":["Tendon Transfer Combined with Calcaneal Osteotomy for Treatment of Posterior Tibial Tendon Insufficiency: A Radiological Investigation"],"prefix":"10.1177","volume":"16","author":[{"given":"Mark S.","family":"Myerson","sequence":"first","affiliation":[{"name":"From the Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Corrigan","sequence":"additional","affiliation":[{"name":"Current location: Waterford, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Thompson","sequence":"additional","affiliation":[{"name":"Current location: Waterford, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"From the Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, Maryland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1995,11,1]]},"reference":[{"key":"bibr1-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1177\/107110078400400509"},{"issue":"2","key":"bibr2-107110079501601108","first-page":"260","volume":"68","author":"Angus P.D.","year":"1986","journal-title":"A critical long-term review. J. Bone Joint Surg."},{"key":"bibr3-107110079501601108","unstructured":"3. Baxter D., Clain M.: The results of transverse tarsal joint arthrodesis for acquired flatfoot deformity. Paper presented at the meeting of the American Orthopaedic Foot and Ankle Society, Asheville, NC, July 1993"},{"key":"bibr4-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200302"},{"key":"bibr5-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.57B3.270"},{"key":"bibr6-107110079501601108","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668010-00012"},{"key":"bibr7-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1177\/107110078200300308"},{"key":"bibr8-107110079501601108","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/00003086-198307000-00021","volume":"177","author":"Johnson K.A.","year":"1983","journal-title":"Clin. Orthop."},{"key":"bibr9-107110079501601108","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00014"},{"key":"bibr10-107110079501601108","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195335040-00021"},{"key":"bibr11-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.53B1.96"},{"key":"bibr12-107110079501601108","first-page":"302","volume":"33","author":"Mann R.A.","year":"1984","journal-title":"Instr. Course Lect."},{"key":"bibr13-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B1.6337167"},{"key":"bibr14-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400305"},{"key":"bibr15-107110079501601108","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100100409"},{"key":"bibr16-107110079501601108","first-page":"159","volume-title":"Current Therapy in Foot and Ankle Surgery","author":"Saxby T.","year":"1993"},{"key":"bibr17-107110079501601108","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749020-00002"},{"key":"bibr18-107110079501601108","unstructured":"18. Sobel M., Mann R.: The results of surgical treatment for posterior tibial tendon insufficiency. Paper presented at the annual meeting of the Eastern Orthopaedics Association, Orlando, FL, 1993"},{"key":"bibr19-107110079501601108","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196648010-00005"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079501601108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110079501601108","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079501601108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:19:21Z","timestamp":1777411161000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110079501601108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,11]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1995,11]]}},"alternative-id":["10.1177\/107110079501601108"],"URL":"https:\/\/doi.org\/10.1177\/107110079501601108","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,11]]}}}