<\/p>\nThe remaining ribbons are tied off at the apex of the screw and cut off<\/p>\n
<\/p>\n
Transposition of the long toe flexor from the tenodesis to the heel bone (FDL transfer)<\/p>\n
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.<\/p>\n
Surgical access is along the inner edge of the foot with a view of the wedge joint of the heel bone.<\/p>\n
<\/p>\n
<\/p>\n
The medial fascia is then severed. The long toe flexor tendon is identified, severed, and clamped.<\/p>\n
<\/p>\n
A canal is created in the inferior-basal surface of the navicular bone with a guide wire under X-ray control.<\/p>\n
<\/p>\n
<\/p>\n
Depending on the size of the tendon, a canal of the appropriate diameter is drilled into the navicular bone.<\/p>\n
<\/p>\n
Mark the length of the end of the tendon to be countersunk into the hole in the navicular bone.<\/p>\n
<\/p>\n
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<\/p>\n
<\/p>\n
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<\/p>\n
<\/p>","protected":false},"excerpt":{"rendered":"
Die verbleibenden B\u00e4nder werden am Scheitelpunkt der Schraube abgebunden und abgeschnitten Transposition des langen Zehenbeugers Transposition des langen Zehenbeugers von der Tenodese zum Fersenbein (FDL-Transfer) Die Operation ist indiziert bei Patienten mit Funktionsst\u00f6rungen (posttraumatisch oder degenerativ) der Tibialissehne, die an der Aufrechterhaltung des L\u00e4ngsgew\u00f6lbes des Fu\u00dfes beteiligt ist. Der chirurgische Zugang erfolgt entlang des inneren […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"crb-meta-links":"","crb-meta-show":"","crb-meta-show-edited":"","crb-meta-use-manual":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-2869","post","type-post","status-publish","format-standard","","category-artikel"],"yoast_head":"