Combined split anterior tibial-tendon transfer and intramuscular lengthening of the posterior tibial tendon. Results in patients who have a varus deformity of the foot due to spastic cerebral palsy.

1991 ◽  
Vol 73 (5) ◽  
pp. 734-738 ◽  
Author(s):  
M J Barnes ◽  
J A Herring
Author(s):  
Miguel Estuardo Rodríguez-Argueta ◽  
Carlos Suarez-Ahedo ◽  
César Alejandro Jiménez-Aroche ◽  
Irene Rodríguez-Santamaria ◽  
Francisco Javier Pérez-Jiménez ◽  
...  

1992 ◽  
Vol 40 (3) ◽  
pp. 1380-1382
Author(s):  
Hirofumi Osako ◽  
Masaru Higo ◽  
Takurou Kojoh ◽  
Nagatoshi Yoshikuni ◽  
Yukari Nishi

2002 ◽  
Vol 23 (12) ◽  
pp. 1103-1106 ◽  
Author(s):  
Ali Sabri Atesalp ◽  
Cemil Yıldız ◽  
Mahmut Kömürcü ◽  
Mustafa Basbozkurt ◽  
Ethem Gür

Surgical correction was performed on nine patients who had equinovarus deformity caused by severe crush injury of the leg sustained in an earthquake. The operative procedure used involved the transfer of the posterior tibial tendon to the dorsum of the foot by passing it through the interosseous membrane using a modified procedure as published in 1978. 5 This procedure was combined with percutaneous Achilles tendon lengthening and tenotomy of toe flexors when needed. The average follow-up time after the operation was 21 months. The treatment improved the heel-toe steppage gait in all patients and all were able to walk in standard shoes. There were no complications in the postoperative period. Recurrence of varus deformity was not seen in any of the patients. They had active dorsiflexion of the foot, with a median active dorsiflexion of 5° (0 to 10°) and median active plantarflexion of 16.1° (10 to 25°) compared to the median active dorsiflexion and plantarflexion on the uninvolved side. The total range-of-motion was 21.1° (10 to 35°).


1999 ◽  
Vol 89 (2) ◽  
pp. 100-103 ◽  
Author(s):  
AM Reyzelman ◽  
S Hadi ◽  
DG Armstrong

For several decades, Chopart's amputation has met with some skepticism owing to reports of significant equinus deformity developing soon after the procedure is performed. However, with appropriate tendon balancing, which generally includes anterior tibial tendon transfer and tendo Achillis lengthening, this level of amputation is often more functional than slightly more distal amputations, such as Lisfranc or short transmetatarsal amputations. The authors offer a rationale for this observation, which includes a discussion of the longitudinal and transverse arch concept of the foot. This concept dictates that the shorter the midfoot-level amputation, the more likely the patient is to develop an equinovarus deformity, thus exposing the fifth metatarsal base and cuboid to weightbearing stress and a high risk of ulceration. Chopart's amputation, in eliminating the cuboid, often obviates the potential varus deformity and thus can have a more acceptable long-term result.


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