Tendon transfers in the treatment of the adult flatfoot

Jonathon D. Backus, Jeremy J. McCormick

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations


Tendon transfers are critical to successful surgical correction of adult flexible flatfoot deformity and may be beneficial in correcting rigid deformities as well. Patients with refractory stageI and II deformities often require selective osteotomies in addition to tendon transfer. Patients with stageIII and IV deformities typically require hindfoot arthrodesis. One of several tendons can be used for transfer based on surgeon's preference. Flexor digitorum longus (FDL) and flexor hallucis longus (FHL) transfers have been shown to have good results. A peroneus brevis transfer is typically used to supplement small FDL or FHL transfer donors or in revision cases.

Original languageEnglish
Pages (from-to)29-48
Number of pages20
JournalFoot and ankle clinics
Issue number1
StatePublished - Mar 2014


  • Adult acquired flatfoot deformity
  • Flexor digitorum longus
  • Flexor hallicus longus
  • Peroneus brevis
  • Peroneus longus
  • Posterior tibial tendon dysfunction
  • Tendon transfer
  • Tibialis posterior


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