Tenodesis in Flail Foot: A New Surgical Technique

Document Type : TECHNICAL NOTE

Authors

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran - Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited 
or no active mobility in the ankle. To address this issue, we described a novel approach called 
tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's 
tendons to minimize potential complications. The primary focus of this method is to preserve ankle 
passive dorsiflexion, thereby maintaining the foot in a neutral position, helping prevent foo t drop, 
reducing the risk of neuropathic ulcers, and keeping joint proprioception. Furthermore, maintaining 
passive ankle dorsiflexion is particularly important in societies where activities such as squatting are 
integral to daily life. The study aims to introduce a new surgical technique for flail foot.
 Level of evidence: V

Keywords

Main Subjects

References

1. Matuszak SA, Baker EA, Fortin PT. The adult paralytic foot. J 
Am Acad Orthop Surg. 2013; 21(5):276-85. doi: 
10.5435/JAAOS-21-05-276.
2. Ansart MB. Pan-arthrodesis for paralytic flail foot. J Bone Joint 
Surg Br. 1951; 33(4):503-507. doi:10.1302/0301-
620x.33b4.503.
3. Fulford G, Cairns T. The problems associated with flail feet in 
children and their treatment with orthoses. J Bone Joint Surg 
Br. 1978; 60(1):93-95. doi:10.1302/0301-
620X.60B1.627586.
4. Natarajan M. Pan-talar arthrodesis for post-polio flail foot. 
Singapore Med J. 1967; 8(3):214-21. 
5. Gharehdaghi M, Rahimi H, Mousavian A. Anterior ankle 
arthrodesis with molded plate: technique and outcomes. Arch 
Bone Jt Surg. 2014; 2(3):203. 
6. Joseph B. Management of a flail foot in cauda equina 
syndrome by neoligament tenodesis: A case report. Foot 
Ankle Int.2006; 27(1):60-3. doi: 
10.1177/107110070602700111.
7. Rodriguez RP. The Bridle procedure in the treatment of paralysis of the foot. Foot Ankle. 1992; 13(2):63-9. doi: 
10.1177/107110079201300203.
8. Maynard MJ, Weiner LS, Burke SW. Neuropathic foot 
ulceration in patients with myelodysplaasia. J Pediatr 
Orthop.1992; 12(6):786-8. doi: 10.1097/01241398-199211000-
00016. 
9. Watts DT, Moosa A, Elahi Z, Palmer AJ, Rodriguez-Merchan 
EC. Comparing the results of total ankle arthroplasty vs 
tibiotalar fusion (ankle arthrodesis) in patients with ankle 
osteoarthritis since 2006 to 2020-A systematic review. Arch 
Bone Jt Surg.2022; 10(6):470-479. doi: 
10.22038/ABJS.2021.55790.2778.
10. Hulet C, Sonnery-Cottet B, Stevenson C, et al. The use of 
allograft tendons in primary ACL reconstruction. Knee Surg 
Sports Traumatol Arthrosc. 2019; 27(6):1754-1770. doi: 
10.1007/s00167-019-05440-3.
The Archives of Bone and Joint Surgery
Volume 12, Issue 11
November 2024
Pages 805-809

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History

  • Receive Date: 11 June 2024
  • Revise Date: 11 July 2024
  • Accept Date: 04 August 2024

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