Medial Arch Restoration after Kidner's Procedure with Rerouting of Tibialis Posterior Tendon for Symptomatic Accessory Navicular Presenting with Flexible Flat Feet

Ullah I1, Khalid1, Inam M2* and Subhan F3

1DHQ Hospital Daggar Buner, Pakistan
2Department of Orthopedic and Trauma, Lady Reading Hospital Peshawar, Pakistan
3SGTH, Saidu Sharif, Pakistan

^*Correspondance to: Muhammad Inam 

 PDF  Full Text DOI: 10.25107/2474-1647.3631

Abstract

Aim: Accessory Navicular is the most important and largest supernumerary bone in the foot. Accessory Navicular have been reported to occur in 0.1% (1 in 1000) with a prevalence 10% to 12%. This entity is usually asymptomatic but when symptomatic its mainly manifest as medical pain in the midfoot, lowering of the arch of the foot, and valgus deformity of the hindfoot. When symptomatic the patients are initially treated conservatively with analgesics and casting. In case of failure of conservative treatment, the patient is treated surgically with Kidner procedure. Methodology: This prospective case series study was carried out at Rehman Medical and Surgical Center Daggar Buner from June 2019 to June 2022. A total of 20 patients with either age or gender were included in the study. Patients with symptomatic accessory navicular presenting with flat feet were subjected to Kidners procedure. All the patients underwent standing lateral radiograph of the foot pre and postoperatively at 6 weeks follow up on which measurement recorded for Calcaneal Pitch Angle and Mearys Angle. Data was recorded and analyzed with SPSS version 20. Results: The preoperative Mearys angle was having a mean of 15.80 ± 2.7 which improved postoperatively at 6 weeks to 5.85 ± 2.35 with a P value of 0.002. The Calcaneal pitch angle preoperatively had a mean of 7.70 ± 2.51 showing a significant improvement postoperatively at 6 weeks to a mean of 14.00 ± 2.90 with a P value of 0.000 leading to restoration of medial arch. Conclusion: Kidners procedure is an effective mean of treatment for patients with symptomatic accessory Navicular presenting with flexible feet. Objective: This study aimed to evaluate medial arch restoration after Kidners procedure in patients with symptomatic Accessory Navicular presenting with flexible flat feet.

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Cite the article

Ullah I, Khalid, Inam M, Subhan F. Medial Arch Restoration after Kidner's Procedure with Rerouting of Tibialis Posterior Tendon for Symptomatic Accessory Navicular Presenting with Flexible Flat Feet. Clin Surg. 2023; 8: 3631..