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Soft-tissue transfer does not appear to correct the underlying deformity in stage II disease; however, there is growing interest in joint-sparing operations that attempt to compensate fo

Trang 1

The loss of function of the posterior

tibial tendon has been associated

with the development of a

progres-sive flatfoot deformity in adults

and children.1,2 The exact etiology

of this condition remains

contro-versial While rupture of the

pos-terior tibial tendon has been

asso-ciated with various underlying

pathologic conditions, the

idio-pathic nature of this problem in

most patients adds to a growing

level of interest in the problem

among the general orthopaedic community There is a sizable group of patients in whom symp-tomatic discomfort is associated with dysfunction of this tendon as well as concomitant deformities

The purpose of this report is to illustrate the spectrum of posterior tibial tendon insufficiency, to high-light recently described techniques for reconstruction, and to review options for surgical and nonopera-tive management

History

The original description of

posteri-or tibialis insufficiency and its asso-ciated tendinitis is credited to Kulowski in a 1936 article Fowler3

and Williams4 described early series of patients who had apparent tendinitis of the posterior tibialis tendon that required surgical treat-ment However, for many years, few reports were published about this pathologic condition Consid-erable interest in posterior tibial tendon insufficiency has developed over the past 15 years This interest has largely stemmed from efforts to understand the pathomechanics of the hindfoot as well as reports of clinical series describing a variety

of methods for surgical treatment of this condition

Dr Beals is Assistant Professor, Department of Orthopedics, University of Utah School of Medicine, Salt Lake City Dr Pomeroy is Clinical Assistant Professor of Orthopaedic Surgery, University of New England; and Director, Portland Orthopedic Foot and Ankle Center, South Portland, Me Dr Manoli is Professor and Chairman, Department of Orthopedic Surgery, University of South Alabama, Mobile.

Reprint requests: Dr Beals, University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132.

Copyright 1999 by the American Academy of Orthopaedic Surgeons.

Abstract

Posterior tibial tendon insufficiency is the most common cause of acquired

adult flatfoot deformity Although the exact etiology of the disorder is still

unknown, the condition has been classified, on the basis of clinical and

radio-graphic findings, into four stages In stage I, there is no notable clinical

deformity; patients usually present with pain along the course of the tendon

and local inflammatory changes Stage II is characterized by a dynamic

deformity of the hindfoot Stage III involves a fixed deformity of the hindfoot

and typically also a fixed forefoot supination deformity but no obvious

evi-dence of ankle abnormality In stage IV, ankle involvement is secondary to

long-standing fixed hindfoot deformities The initial treatment of patients in

any stage should be nonoperative, with immobilization, a nonsteroidal

anti-inflammatory drug, and perhaps an orthotic device The role of corticosteroid

injections continues to be controversial When nonoperative management

fails, the treatment options consist of soft-tissue procedures alone or in

com-bination with osteotomy or arthrodesis Stage I insufficiency is generally

treated with debridement and tenosynovectomy Soft-tissue transfer does not

appear to correct the underlying deformity in stage II disease; however, there

is growing interest in joint-sparing operations that attempt to compensate for

the underlying deformities with osteotomies or arthrodeses, supplemented

with dynamic transfers to replace the insufficient posterior tibial tendon.

Subtalar, double, or triple arthrodesis is the procedure of choice for stage III

disease, frequently in conjunction with heel-cord lengthening Tibiocalcaneal

arthrodesis or pantalar arthrodesis is most commonly used to treat stage IV

disease.

J Am Acad Orthop Surg 1999;7:112-118 Diagnosis and Treatment

Timothy C Beals, MD, Gregory C Pomeroy, MD, and Arthur Manoli II, MD

Trang 2

Anatomy and

Biomechanics

The posterior tibial muscle

origi-nates on the posterior aspect of the

tibia, the fibula, and the

interos-seous membrane It courses

poste-riorly and medially around the

ankle in a groove adjacent to the

medial malleolus and inserts on the

midfoot in the area of the navicular

tuberosity The tendon has bands

that attach to the plantar aspect of

the cuneiforms; the second, third,

and fourth metatarsals; and the

sustentaculum tali It runs

posteri-or to the axis of the ankle joint and

medial to the axis of the subtalar

joint Therefore, the tendon

func-tions as a plantar-flexor of the

ankle and as an invertor of the

sub-talar joint complex

The posterior tibial muscle

initi-ates the process of inversion of the

hindfoot during gait, bringing it

into a neutral position and

maxi-mizing the mechanical advantage

of the more laterally positioned

Achilles tendon as the individual

rises onto the forefoot The

poste-rior tibial muscle truly drives the

position of the hindfoot and

deter-mines the flexibility of the foot by

its control over the transverse tarsal

joints The loss of the force of

inversion of the muscle explains

why patients with posterior tibial

tendon insufficiency have only a

limited ability, or are completely

unable, to rise onto their toes from

a position of single-leg stance The

posterior tibial muscle is normally

opposed by the peroneus brevis,

and it has been theorized that it is

the lack of opposition of the

per-oneus brevis muscle that leads to

the clinical deformities recognized

in patients with rupture or

dys-function of the posterior tibial

ten-don The posterior tibial and

per-oneus brevis muscles both function

during the midstance phase of gait

Several pertinent anatomic

fac-tors relate to reconstruction

tech-niques and explain the problems patients experience with insuffi-ciency of the posterior tibial ten-don These include the fact that the posterior tibial muscle is large

in comparison to those that can be transferred to replace it It has a cross-sectional area of 16.9 cm2, compared with 5.5 cm2for the

flex-or digitflex-orum longus muscle and 6.7 cm2 for the peroneus brevis muscle The medial capsular and ligamentous structures of the hind-foot and midhind-foot certainly play a role in the development of flatfoot deformities The talonavicular joint capsule, as well as the spring-ligament5 and deltoid-ligament complexes, have been implicated

in the progressive loss of the

medi-al longitudinmedi-al arch of the foot and the ankle dysfunction seen in long-standing cases of posterior tibial tendon insufficiency

Diagnosis

The diagnosis of posterior tibial tendon insufficiency is primarily a clinical one Patients typically complain of pain medially around the ankle that may radiate into the arch of the foot Some patients in the later stages of the condition complain of pain on the lateral aspect of the foot, where the calca-neus abuts against the fibula, due

to an excessive valgus position of the hindfoot Roughly half of all patients give a history of some sort

of trauma that was initially thought

to be a sprain Patients often expe-rience swelling along the course of the posterior tibial tendon and sig-nificant pain, most typically several centimeters proximal to the inser-tion onto the navicular tuberosity

Pain is exacerbated by activity, and the ability to walk distances de-creases Some patients present simply with pain and apparent inflammation along the tendon without any evidence of clinical

deformity, but most patients have some collapse of the foot

The rate of development of clini-cal deformity is variable, and there are no adequate studies of the nat-ural history of posterior tibial ten-don insufficiency In some pa-tients, the deformity increases, and eventually the hindfoot valgus, notable even during relatively early stages of the condition, be-comes fixed In the latest stages of the condition, the ankle is affected and has a tendency toward valgus tilting from laxity of the medial deltoid complex

Clinical evaluation includes observing the patient in a standing position When viewed from be-hind, the Òtoo many toesÓ sign is typically seen, which is evidence of abduction of the midfoot relative to the hindfoot.6,7 Excessive hindfoot valgus is noted in the affected limb,

as well as loss of the longitudinal arch when viewed from either the side or the front Typically, soft-tissue swelling around the medial aspect of the ankle is evident The tissues below the medial malleolus appear prominent due largely to excessive hindfoot valgus (Fig 1) Patients asked to rise onto their

Fig 1 Clinical appearance of a patient with stage II posterior tibial tendon insuffi-ciency Note the too-many-toes sign on the left, the excessive hindfoot valgus, and medial soft-tissue swelling.

Trang 3

toes from a position of single-leg

stance either are completely unable

to comply or can do so only to a

limited degree They may attempt

to compensate by vaulting forward

to raise themselves with use of the

Achilles tendon

While some authors dismiss its

utility, manual testing of muscle

units is helpful for both diagnosis

and the determination of treatment

options Resistance against the

tib-ialis posterior is assessed, as well as

testing of the peroneus brevis,

flex-or hallucis longus, and flexflex-or

digi-torum longus To evaluate the

tib-ialis posterior, the foot is placed in

an everted, plantar-flexed position,

and the patient is asked to invert

the foot This method is more

accurate than testing the foot in an

inverted position; with that

tech-nique, the function of the tibialis

anterior may confuse the examiner

Contracture of the Achilles

ten-don complex is often noted when

the foot is placed in a reduced

posi-tion In cases of excessive hindfoot

valgus, patients are able to achieve

a relatively dorsiflexed position by

rotation through the transverse

tarsal joints into a Òcompensated

equinusÓ position The hindfoot

equinus often seems most directly

related to the gastrocnemius mus-cle and is not necessarily related to the entire gastrocnemius-soleus complex This distinction is made

by testing with the knee extended and flexed During gait evaluation, recruitment of the long extensor tendons can be seen in patients who have a tight Achilles tendon complex

Thorough evaluation is neces-sary to ensure that insufficiency of the posterior tibialis tendon is an isolated problem and not indica-tive of a more generalized condi-tion, such as rheumatoid arthritis

or seronegative arthropathy Ex-amination of the contralateral limb and upper extremities is often helpful

Radiographic evaluation should include four weight-bearing films:

an anteroposterior view of both ankles, an anteroposterior view of both feet, and lateral foot and ankle radiographs of each side This allows comparison in patients who have unilateral disease and often serves as an excellent teaching tool when explaining the nature of the problem to the patient Arthrosis

of the hindfoot joints should be determined, as this may affect treatment Typical deformity

in-cludes apparent shortening of the hindfoot on the weight-bearing anteroposterior ankle radiograph, which is indicative of collapse through the subtalar joint complex

A rare finding in advanced poste-rior tibial tendon insufficiency is an ossicle in the medial ligament com-plex, which seems associated with failure of the deltoid

On weight-bearing lateral radio-graphs, the inclination of the talus

is plantarward in comparison to normal, with collapse typically through the talonavicular joint On some occasions, the collapse seems equally evident through the navic-ulocuneiform and tarsometatarsal articulations Comparison of the inferior portion of the medial cuneiform to the inferior portion of the fifth metatarsal can be helpful

to allow objective measurement of the degree of collapse (Fig 2) Anteroposterior foot radiographs typically demonstrate lateral peri-talar subluxation of the navicular and associated abduction of the midfoot The amount of the talar head that is uncovered appears increased in comparison to the con-tralateral side

Evaluation with adjunctive mo-dalities, such as tomography,

Fig 2 A,Lateral weight-bearing radiograph of a foot with stage II posterior tibial tendon insufficiency The inferior border of the medial

cuneiform (medial column) is even with the base of the fifth metatarsal (lateral column) Note the plantar inclination of the talus B, The

normal contralateral foot is shown for comparison.

Trang 4

tion tenography, ultrasonography,

and magnetic resonance imaging,

has been advocated by some

Indeed, there are case reports

docu-menting utility in cases in which the

diagnosis is uncertain Although

this is not routinely recommended,

such tests should be considered

Classification of Posterior

Tibial Tendon

Insufficiency

Johnson and Strom7 initially

de-scribed a classification scheme for

posterior tibial tendon insufficiency

Although the classification is not

predictive and does not consider

the contracted gastrocnemius, the

initial three-stage scheme is useful

in developing algorithms for

treat-ment However, it has been found

helpful to also consider a fourth

stage of the disorder in developing

a treatment plan

Stage I

Stage I is defined as the absence

of a fixed deformity of the foot or

ankle with the possible exception of

a contracted gastrocnemius-soleus

complex The foot is in normal

alignment when the patient is

stand-ing Patients typically present with

pain along the course of the

poste-rior tibialis tendon and evidence of

local inflammatory changes

Stage II

Stage II is characterized by a

dynamic deformity of the hindfoot

The standing patient displays an

increased degree of hindfoot valgus,

apparent weakness of tibialis

poste-rior function, the characteristic

too-many-toes sign, and inability to do a

single-leg heel rise However,

pat-ients still have a relatively normal

arc of subtalar motion, and the foot

can be placed into a neutral

posi-tion, with the possible exception of

contraction of the

gastrocnemius-soleus complex

Stage III

Patients with stage III posterior tibial tendon insufficiency have a fixed deformity of the hindfoot

With the hindfoot in a fixed valgus position, it is not possible to re-duce the talonavicular joint Typi-cally, these patients also have an accompanying fixed forefoot supi-nation deformity that is a compen-satory change to accommodate the hindfoot valgus in order to main-tain a plantigrade foot Patients with stage III disease do not have obvious evidence of ankle abnor-malities

Stage IV

A relatively small subset of patients have ankle involvement secondary to long-standing fixed deformities of the hindfoot They may present with ankle arthritis due to eccentric loading of the ankle Some have a valgus talar tilt with loss of competence of the del-toid ligament complex

Pathophysiology

The etiology of posterior tibial ten-don insufficiency is elusive In an epidemiologic study, Holmes and Mann8 correlated the development

of posterior tibial tendon insuffi-ciency to hypertension and obesity

This condition affects more women than men Controversy exists about the development of posterior tibial tendon insufficiency in patients with rheumatoid arthritis, with some authors emphasizing the role of the tendon and others implying dysfunction secondary to subtalar arthrosis

The blood supply in the region

of tendon failure has been stud-ied.9,10 Some theorize that there is

an area of diminished perfusion at the site of tendon failure, which may have implications regarding the etiology of the injury and its apparent inability to heal

Mechani-cal causes of posterior tibial tendon insufficiency have been described, including an association with a contracted gastrocnemius-soleus complex

Recent immunohistologic stud-ies imply a lack of an inflammatory appearance in stage II disease The histologic appearance is consistent with mechanical failure of the col-lagen architecture of the tendon in the area of elongation and rupture, with mucoid degeneration Com-plete rupture of the tibialis poste-rior tendon is not common, as most patients have longitudinal failure

of the tendon substance In gross appearance, the tendon has been described as being the color of poached fish, often with longitudi-nal tears on the lateral side of the tendon (Fig 3) In cases of chronic posterior tibial tendon insufficiency, the gross appearance and histo-logic structure of the tendon are abnormal

Nonoperative Management

The initial management of patients who present in any stage of poste-rior tibial tendon insufficiency is nonoperative Some success has been achieved by immobilization of patients who have symptoms of acute tendinitis with or without deformity A trial with an accom-modative orthotic device that is supportive of the medial longitudi-nal arch is usually worthwhile Although there are no published studies documenting the efficacy of orthotic devices in the treatment of the various stages of this condition, there is certainly a population of patients who report a decreased level of symptoms associated with the use of such a device An ankle brace or ankle-foot orthosis will be helpful to some patients Nonster-oidal anti-inflammatory medication can decrease pain and associated swelling

Trang 5

The role, benefit, and

appropri-ateness of corticosteroid injections

for this problem continue to be

controversial Published reports

associate the use of steroid

injec-tions with rupture of the tendon,

although it is possible that in these

instances rupture might have

occurred without injection due to

the underlying pathologic changes

in the tendon There are no

con-trolled studies of the use of such

injections Therefore, at this time,

routine use of injections in this area

cannot be recommended as part of

the nonoperative treatment of this

condition

Operative Management

The operative treatment of patients

in whom nonoperative

manage-ment has failed consists of either

tissue procedures alone or

soft-tissue procedures combined with

either osteotomies or arthrodesis

It is important to account for all the

fixed and dynamic structural

defor-mities present when defining a

spe-cific operative plan for a given

patient

Stage I

Patients who have stage I poste-rior tibial tendon insufficiency often

do not have a notable clinical defor-mity They have an inflammatory condition involving the tendon, but the tendon remains competent in terms of function, and there are no secondary deformities that have developed due to the tenosynovitis

These patients have been treated with debridement of the tendon and tenosynovectomy around the posterior tibial tendon There is only one recent study providing follow-up, and it supports the con-cept that the combination of debridement and tenosynovectomy

is effective in relieving pain.11

However, there are no published studies on this patient population that provide long-term follow-up data Consideration could be given

to augmentation of the posterior tibial tendon with the flexor digito-rum longus and to a gastrocnemius

or heel-cord lengthening

Stage II

It is in the treatment of this sub-set of patients where there is the greatest degree of controversy

regarding the optimal surgical management The historical foun-dation for treatment of this stage of posterior tibial tendon insufficiency

is provided by a study reporting on the debridement of the posterior tibial tendon and transfer of the flexor digitorum longus to the navic-ular.1 The results in 17 patients with a mean follow-up of less than

3 years have been very acceptable

in terms of relieving pain How-ever, it appears that the soft-tissue transfer does not correct the under-lying deformity

A recent article describes the results in a series of 13 patients fol-lowed up for a mean of 27 months after primary repair of the poste-rior tibial tendon and tenodesis of the flexor digitorum longus.12 The results were considered to support the idea that these procedures re-lieve pain and improve the ability

to ambulate Similarly, good re-sults have been achieved with spring-ligament repair or recon-struction in addition to tendon transfer.5

There is growing interest in oper-ations for stage II disease that attempt to compensate for the under-lying deformities and deforming forces with osteotomies or arthrode-ses The bone procedures are sup-plemented with dynamic transfers to replace the insufficient posterior tib-ial tendon Recent reports13,14have highlighted the early successful results of joint-sparing operations, such as a medializing osteotomy of the calcaneal tuberosity in addition

to tendon transfer and a procedure that combines a medializing cal-caneal osteotomy, a lateral columnÐ lengthening osteotomy through the anterior calcaneus, a flexor digito-rum longus tendon transfer to the medial cuneiform, and heel-cord lengthening (Fig 4) These two stud-ies demonstrate improved radio-graphic appearance, and the study

by Pomeroy and Manoli14 docu-ments statistically significant

im-Fig 3 Gross appearance of a degenerated posterior tibial tendon Note the disruption of

the fibers on the lateral side of the tendon.

Trang 6

provement in function as indicated

by the score on the ankle-hindfoot

rating scale of the American

Ortho-paedic Foot and Ankle Society.15 The

early reports of the success of

joint-sparing operations allow optimism

that it may be possible to treat stage

II posterior tibial tendon insufficiency

with procedures that do not

necessi-tate a significant loss of hindfoot

motion and adaptability

Lateral-column lengthening

through the calcaneocuboid

articu-lation with medial soft-tissue

reconstruction has been advocated

The biomechanical and

radio-graphic implications of such

proce-dures have been studied by

Sangeorzan et al16 and Deland et

al.17 Subtalar arthrodesis is still

suggested by many experienced

foot and ankle surgeons, both alone

and in concert with medial

soft-tissue debridement and/or tendon

transfer The results of a study of

patients treated with isolated

talo-navicular arthrodesis demonstrated

improved function and decreased

pain.18 In another study,19 the

implications of a talonavicular

fusion in terms of the effect on

hindfoot motion implied a

signifi-cant loss of mobility

Stage III

The foot with stage III posterior tibial tendon insufficiency has fixed deformities that cannot be corrected

by osteotomies or soft-tissue proce-dures alone Typically, there is some degree of arthrosis present in the subtalar joint complex The proce-dures of choice in this stage of the disease include subtalar arthrodesis, double arthrodesis, and triple ar-throdesis These are frequently done

in conjunction with heel-cord length-ening The arthrodesis selected should be able to correct all of the deformities Once the subtalar joint has been taken out of an excessive degree of hindfoot valgus, fixed fore-foot supination necessitates a talo-navicular arthrodesis to rotate the foot into a plantigrade position In some cases with more extreme defor-mity, it may even be necessary to perform an operation to plantar-flex the first ray if full correction of the deformity cannot be accomplished with a triple arthrodesis The funda-mental goal is a plantigrade foot in a good position that supports the ankle in optimal alignment

Graves et al20reported on 17 patients who had undergone triple arthrodesis, 10 of whom had

poste-rior tibial tendon insufficiency The mean follow-up interval was 31Ú2

years The postoperative complica-tions were significant, and the authors recommended that triple arthrodesis be reserved as a salvage procedure They also emphasized the risk of increased arthrosis in joints adjacent to the arthrodesis

Stage IV

Patients with long-standing severe hindfoot valgus deformities and secondary ankle arthrosis are difficult to treat Fortunately, few patients fall into this category Most commonly, tibiocalcaneal arthrodesis or pantalar arthrodesis

is performed to address all of the deformities simultaneously

Summary

Posterior tibial tendon insufficiency

is a disorder with a broad spectrum

of clinical presentations It is essential that treatment be closely correlated to the particular static and dynamic deformities in the patient The classification system initially outlined by Johnson and Strom7 is helpful in determining

Fig 4 Preoperative (A) and postoperative (B) radiographic appearance of a patient who underwent a medializing calcaneal tuberosity

osteotomy and lateral columnÐlengthening calcaneal osteotomy.

Trang 7

the stage of disease and the

treat-ment options available However,

without a documented natural

his-tory of the disorder or a known

time frame for the progression

from one stage to another, it

re-mains a challenge to counsel pa-tients regarding the optimal treat-ment Recently described joint-sparing operations and limited arthrodeses combined with soft-tissue reconstruction allow

opti-mism that patients with this dis-abling hindfoot condition can resume relatively normal function The long-term outcome of patients treated with these techniques re-mains unknown

References

1 Mann RA, Thompson FM: Rupture of

the posterior tibial tendon causing flat

foot: Surgical treatment. J Bone Joint

Surg Am 1985;67:556-561.

2 Masterson E, Jagannathan S, Borton D,

Stephens MM: Pes planus in

child-hood due to tibialis posterior tendon

injuries: Treatment by flexor hallucis

longus tendon transfer. J Bone Joint

Surg Br 1994;76:444-446.

3 Fowler AW: Tibialis posterior

syn-drome [abstract] J Bone Joint Surg Br

1955;37:520.

4 Williams R: Chronic non-specific

ten-dovaginitis of tibialis posterior J Bone

Joint Surg Br 1963;45:542-545.

5 Cracchiolo A III: Evaluation of spring

ligament pathology in patients with

posterior tibial tendon rupture, tendon

transfer, and ligament repair Foot

Ankle Clin 1997;2:297-307.

6 Johnson KA: Tibialis posterior tendon

rupture. Clin Orthop 1983;177:140-147.

7 Johnson KA, Strom DE: Tibialis

poste-rior tendon dysfunction. Clin Orthop

1989;239:196-206.

8 Holmes GB Jr, Mann RA: Possible

epi-demiological factors associated with

rupture of the posterior tibial tendon.

Foot Ankle 1992;13:70-79.

9 Frey C, Shereff M, Greenidge N: Vas-cularity of the posterior tibial tendon.

J Bone Joint Surg Am 1990;72:884-888.

10 Stepien M: The sheath and arterial supply of the tendon of the posterior tibialis muscle in man. Folia Morphol

(Warsz) 1973;32:51-62.

11 Teasdall RD, Johnson KA: Surgical treatment of stage I posterior tibial tendon dysfunction. Foot Ankle Int

1994;15:646-648.

12 Shereff MJ: Treatment of ruptured posterior tibial tendon with direct

repair and FDL tenodesis Foot Ankle

Clin 1997;2:281-296.

13 Myerson MS, Corrigan J, Thompson F, Schon LC: Tendon transfer combined with calcaneal osteotomy of treatment for posterior tibial tendon insufficien-cy: A radiological investigation. Foot

Ankle Int 1995;16:712-718.

14 Pomeroy GC, Manoli A II: A new operative approach for flatfoot sec-ondary to posterior tibial tendon insufficiency: A preliminary report.

Foot Ankle Int 1997;18:206-212.

15 Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser

toes Foot Ankle Int 1994;15:349-353.

16 Sangeorzan BJ, Mosca V, Hansen ST Jr:

Effect of calcaneal lengthening on rela-tionships among the hindfoot, mid-foot, and forefoot. Foot Ankle 1993;14:

136-141.

17 Deland JT, Otis JC, Lee KT, Kenneally SM: Lateral column lengthening with calcaneocuboid fusion: Range of motion in the triple joint complex.

Foot Ankle Int 1995;16:729-733.

18 Harper MC, Tisdel CL: Talonavicular arthrodesis for the painful adult acquired flatfoot. Foot Ankle Int 1996;

17:658-661.

19 ÕMalley MJ, Deland JT, Lee KT:

Selective hindfoot arthrodesis for the treatment of adult acquired flatfoot deformity: An in vitro study. Foot

Ankle Int 1995;16:411-417.

20 Graves SC, Mann RA, Graves KO:

Triple arthrodesis in older adults: Results after long-term follow-up. J

Bone Joint Surg Am 1993;75:355-362.

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