Long-Term Results of Tibialis Anterior Tendon Transfer for Relapsed Idiopathic Clubfoot Treated with the Ponseti Method

2015 ◽  
Vol 97 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Joshua B. Holt ◽  
David E. Oji ◽  
H. John Yack ◽  
Jose A. Morcuende
Keyword(s):  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Ponseti Method ◽  
Long Term Results ◽  
Idiopathic Clubfoot ◽  
Tibialis Anterior Tendon

scholarly journals Comparison of the Ponseti method versus early tibialis anterior tendon transfer for idiopathic clubfoot: A prospective randomized study

Medicina ◽  
2016 ◽  
Vol 52 (3) ◽  
pp. 163-170 ◽  
Author(s):  
Jolita Gintautienė ◽  
Emilis Čekanauskas ◽  
Vidmantas Barauskas ◽  
Rimantas Žalinkevičius
Keyword(s):  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Randomized Study ◽  
Ponseti Method ◽  
Prospective Randomized Study ◽  
Idiopathic Clubfoot ◽  
Tibialis Anterior Tendon

scholarly journals Conservative Management of Idiopathic Clubfoot: Kite versus Ponseti Method

2009 ◽  
Vol 17 (1) ◽  
pp. 67-71 ◽  
Author(s):  
AV Sanghvi ◽  
VK Mittal
Keyword(s):  
Conservative Management ◽  
Ponseti Method ◽  
Ankle Dorsiflexion ◽  
Long Term Results ◽  
Idiopathic Clubfoot ◽  
Success Rates ◽  
Residual Deformity ◽  
Full Correction ◽  
Rapid Correction

Purpose. To compare the long-term results of the Kite and Ponseti methods of manipulation and casting for clubfoot. Methods. 42 patients (with 64 idiopathic clubfeet) were equally randomised to Kite or Ponseti treatments in the early weeks of life. 14 males and 7 females (34 clubfeet) were treated by the Kite method, whereas 13 males and 8 females (30 clubfeet) were treated by the Ponseti method. All the clubfeet were manipulated, casted, and followed up (for a mean of 3 years) by one experienced orthopaedic surgeon. The final results were compared. Results. The success rates for the Kite and Ponseti treatments were similar (79% vs 87%). With the Ponseti method, the number of casts was significantly fewer (7 vs 10); the duration of casting required to achieve full correction was significantly shorter (10 vs 13 weeks); the maximum ankle dorsiflexion achieved was significantly greater (12 vs 6 degrees); and the incidence of residual deformity and recurrence was slightly lower. Conclusion. The Ponseti method can achieve more rapid correction and ankle dorsiflexion with fewer casts, without weakening the Achilles tendon.

scholarly journals Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot

2015 ◽  
Vol 5 (3) ◽  
pp. e16 ◽  
Author(s):  
Joshua B. Holt ◽  
Brian Westerlind ◽  
Jose A. Morcuende
Keyword(s):  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Idiopathic Clubfoot ◽  
Tibialis Anterior Tendon

scholarly journals Ruptura sprednje kite golenske mišice – pregled literature in prikaz kliničnega primera rekonstrukcije s kito semitendinozne mišice pri pacientu s sladkorno boleznijo in polinevropatijo

2015 ◽  
Vol 84 (9) ◽  
Author(s):  
Igor Frangež ◽  
Matevž Krašna ◽  
Tea Nizič-Kos ◽  
Dragica Maja Smrke
Keyword(s):  
Tibialis Anterior ◽  
Weight Bearing ◽  
Tendon Graft ◽  
Long Term Results ◽  
Semitendinosus Muscle ◽  
Rare Injury ◽  
Tibialis Anterior Tendon ◽  
Tibialis Muscle ◽  
Old Men

Abstract:Background: Rupture of the tibialis anterior tendon is a rare injury. It can be traumatic or spontaneous. Spontaneous rupture is usually a consequence of degenerative changes of the tendon caused by accompanied diseases. For successful treatment and rehabilitation early diagnosis is mandatory. For diagnosis a clinical examination is most important and ultrasound examination and/or magnetic resonance additionally confirms the diagnosis. Treatment can be operative or conservative with below knee non-weight bearing cast. Conservative treatment is usually decided where ruptures are older than three months, especially in patients with poorer mobility or with accompanied diseases. In the literature there are several techniques considering surgical treatment.Case report: A 56 years old men with diabetes mellitus and polyneuropathy sustained a rupture of the tibialis anterior tendon at injury walking downhill. Rupture was at first unrecognized and was treated as an ankle sprain.  After two months he was reexamined and a rupture of the tibialis anterior tendon was diagnosed and surgically reconstructed using semitendinosus tendon graft. Conclusion: Rupture of the anterior tendon of tibialis muscle was reconstructed by using an autologous graft of semitendinosus muscle tendon, in which we achieved good long-term results. Tendon of semitendinosus is suitable because it has properties similar to anterior tendon of tibialis muscle. Because of the similar diameters it is also suitable for bridging of longer defects, such as in our case. 

scholarly journals Suture Button Technique for Tibialis Anterior Tendon Transfer for the Treatment of Residual Clubfoot

2020 ◽  
Vol 5 (2) ◽  
pp. 247301142092359
Author(s):  
Chanseok Rhee ◽  
Bernard Burgesson ◽  
Ben Orlik ◽  
Karl Logan
Keyword(s):  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Case Series ◽  
Idiopathic Clubfoot ◽  
Safe Procedure ◽  
Level Of Evidence ◽  
Tibialis Anterior Tendon ◽  
Suture Button ◽  
Operative Notes

Background: The Ponseti method has revolutionized the treatment of idiopathic clubfoot, but recurrence remains problematic. Dynamic supination is a common cause of recurrence, and the standard treatment is tibialis anterior tendon transfer using an external button. Although safe and effective, the placement of the button on the sole creates a pressure point, which can lead to skin ulceration. In our institution, a suture button has been used for the tibialis anterior tendon transfer and we report our results here. Methods: Two senior authors’ case logs were retrospectively reviewed to identify 23 patients (34 feet) for tibialis anterior tendon transfer using a suture button. Complications and additional operative procedures were assessed by reviewing operative notes, follow-up visit clinic notes, and radiographs. The mean age of the patients was 6 years 2 months (SD 40 months) and the average follow-up duration was 67.1 weeks (SD 72 weeks). Results: There were 5 complications (14.7%). Recurrence occurred bilaterally in 1 patient (5.9%) but did not require reoperation. Other complications included a cast-related pressure sore (2.9%) and an infection (2.9%) requiring irrigation with debridement along with hardware removal. Conclusions: Tibialis anterior tendon transfer using a suture button was a safe procedure with theoretical advantage of providing stronger fixation and reducing the risk of skin pressure necrosis compared to the standard external button technique. We believe a suture button could allow earlier rehabilitation and may afford stronger ankle eversion. Prospective studies are required to compare the differences in functional outcomes between the procedures. Level of Evidence: Level IV, case series, therapeutic study.

Three-dimensional gait analysis in children with recurrent idiopathic clubfoot undergoing complete tibialis anterior tendon transfer

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jingchun Li ◽  
Fuxing Xun ◽  
Yiqiang Li ◽  
Yuanzhong Liu ◽  
Hongwen Xu ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Three Dimensional ◽  
Idiopathic Clubfoot ◽  
Tibialis Anterior Tendon

scholarly journals MODERN CONCEPTS OF CONSERVATIVE TREATMENT METHODS OF CLUBFOOT

2014 ◽  
Vol 2 (4) ◽  
pp. 20-31
Author(s):  
Irina Yurievna Klychkova ◽  
Yuri Alexeevich Lapkin ◽  
Mikhail Pavlovich Konyukhov ◽  
Yulia Aleksandrovna Stepanova ◽  
Vladimir Markovich Kenis
Keyword(s):  
Conservative Treatment ◽  
Ponseti Method ◽  
The Other ◽  
Long Term Results ◽  
Treatment Results ◽  
Congenital Clubfoot ◽  
Functional Methods ◽  
The World ◽  
Accepted Standard

Conservative treatment of congenital clubfoot is generally accepted standard in the world orthopedic practice. There are many techniques that basically include functional methods and techniques of passive correction of the deformity. We analyzed 10 years of experience in the treatment of primary clubfoot according to three techniques - Zatsepin’s method, author’s method and Ponseti method. The evaluation of treatment results in the short and long terms was carried out. Analysis of long-term results showed a statistically significant advantage of Pontseti method over the other used techniques.

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