The Young tenosuspension in the treatment of abnormal pronation of the foot.

Abstract

The intent of this retrospective study was to evaluate the efficacy of the Young tenosuspension for the control of abnormal subtalar joint pronation. Two series of 15 feet of patients aged 10 to 16 years were selected. Patients in the first series had been operated on with a combination of tendo Achillis lengthening and subtalar arthroereisis, while those of the second series had these same procedures along with a Young tenosuspension. All cases had been reviewed in June and July of 1994, both clinically and radiographically. The follow-up period ranged from 1.5 to 8.6 years. The authors found at follow-up a statistically significant improvement in both series of patients. There were no significant differences, however, when comparing the results of the two series with the exception of the reduction in forefoot supination, which was statistically greater (p < 0.05) in patients on which the Young tenosuspension had been performed.