Pronation of the foot with many overuse injuries in running including medial tibial stress syndrome, or shin splints, and knee pain Hintermann states, “Individuals with injuries typically have pronation movement that is about two to four degrees greater than that of those with no injuries.” He adds however, that between 40% and 50% of runners who overpronate do not have overuse injuries. This suggests that although pronation may have an effect on certain injuries, it is not the only factor influencing their development. The design principles of foot orthoses are founded on knowledge of the functional anatomy of the foot. Pronation of the foot
Medial knee injuries and POL grafts are pulled into their respective femoral tunnels and each secured with a cannulated bioabsorbable screw. The grafts are passed distally along their native courses to the tibial attachments. The sMCL is passed under sartorius fascia (and any remaining sMCL fibers). Both grafts are passed (but not yet secured) into their respective tibial tunnels using the existing eyelet pins. If simultaneous cruciate ligament surgery is underway, the cruciate reconstructions are secured before securing the medial ligaments. Securing the POL graft is done in full knee extension. The graft is pulled tight and fixed using a bioabsorbable screw. The