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Rotura aguda del tendón tibial posterior: descripción de un caso clínico

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Abstract

The acute rupture of the posterior tibial tendon (PTT) is a rare injury with a challenging clinical diagnosis, typically occurring in the context of trauma associated with ankle fractures. However, it can also appear spontaneously in patients with risk factors. This report describes the case of a 61-year-old man who presented with a complete acute rupture of the PTT and a history of corticosteroid use, with a tendon defect of 10 cm. Surgical treatment consisted of a medializing calcaneal osteotomy of the Koutsogiannis type and transfer of the flexor digitorum longus (FDL) tendon to the navicular bone. The postoperative course was satisfactory, with complete functional recovery one year after surgery. This case highlights the importance of early diagnosis using magnetic resonance imaging (MRI) and the indication for FDL transfer when primary PTT repair is not feasible, along with a varus calcaneal osteotomy to restore function and prevent the development of adult-acquired flatfoot.

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