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Dynamic Soft Tissue Reconstructive Procedure for Correction of Severe Flexible Flat Foot

Mohamed Abd El Aziz Mohamed Ali*

Background: We studied results of a soft tissue reconstructive procedure (Yahia procedure) for correction of symptomatic severe Flexible Flat Foot (FFF). The idea of the procedure was open reduction of the midtarsal joints with dynamic elevation of the talus by split transfer of the tibialis anterior tendon to reconstruct the medial longitudinal arch with rerouting of the other half of the tendon to act as a supportive planter ligament. The aim of this work is to assess Dynamic Soft Tissue Reconstructive (DSTR) procedure for correction of severe flexible flat foot.

Patients and Methods: We operated 17 patients (30 feet), (13 bilateral-4 unilateral), 12 males and 5 females, at a mean age of 6 (4-8) years corrected by Dynamic Soft Tissue Reconstructive (DSTR) technique with a mean of 30 months (12-48) of follow up period.

Result: At a mean of 2.5 years after surgery, 96.7% of the studied feet had satisfactory results.

Conclusion: We concluded that this soft tissue reconstructive procedure is useful for achieving accepted and maintained correction of severe Flexible Flat Foot (FFF).