scholarly journals Split Tibialis Anterior Transfer for Correction of Residual Dynamic Metatarsus Adductus Following Ponseti Management of Idiopathic Clubfoot

2021 ◽  
Vol 84 (1) ◽  
pp. 2176-2179
Author(s):  
Emhemmed Faraj Emmhemed Aboubreeg ◽  
Hosam Mohammed Khairy Tawfik Omar ◽  
Mohammed AbdElAziz Gaith ◽  
Yamen Safwat AbdElDayem
Keyword(s):  
Tibialis Anterior ◽  
Idiopathic Clubfoot ◽  
Metatarsus Adductus

The effect of tibialis anterior tendon transfer on metatarsus adductus deformity in children with clubfoot

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Osman Nuri Özyalvaç ◽  
Akay Kırat ◽  
Evren Akpınar ◽  
Yaşar Mahsut Dinçel ◽  
Barış Özkul ◽  
...  
Keyword(s):  
Tibialis Anterior ◽  
Tendon Transfer ◽  
Tibialis Anterior Tendon ◽  
Metatarsus Adductus

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 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 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 Foot abduction brace noncompliance in children with idiopathic clubfoot: how the deep squatting posture might help

2020 ◽  
Vol 8 (3) ◽  
pp. 241-248
Author(s):  
Pipattra Sailohit ◽  
Noppachart Limpaphayom
Keyword(s):  
Exercise Group ◽  
Ponseti Method ◽  
Idiopathic Clubfoot ◽  
Routine Practice ◽  
Group A ◽  
Metatarsus Adductus ◽  
Noncompliance Rate ◽  
Group B ◽  
Recent Evaluation

Background. Compliance with the foot abduction brace (FAB) is essential for idiopathic clubfoot (ICF) managed by the Ponseti method. The deep squatting posture (DSP) was correlated with favorable outcomes in ICF. Aim. The aims of the study were to identify the noncompliance rate with the FAB, and assess how the routine practice of ankle stretching and Asian-style DSP affected the ICF correction during the Ponseti method. Materials and methods. Of 42 children with ICF, 63 ICF underwent the Ponseti method at an average age of 8.7 12.6 weeks using an average of 5.4 1.7 casts followed by FAB wear. The children practiced the DSP exercise as an adjunct to the FAB protocol. Children noncompliant with the FAB protocol but compliant with the DSP exercise (group A) were compared with children noncompliant with both FAB protocol and DSP exercise (group B). Results. At an average follow-up of 3.5 1.4 years, 8 of 42 children compliant with the FAB protocol. The FAB protocol deviation was documented at an average of 10.3 4.8 months. Children who did not adhere to the practice of the DSP exercise had a higher recurrent rate of any ICF deformity (OR 7.82, 95% CI 1.3553.79, p = 0.003). Of the 34 children (48 feet) noncompliant with FAB, the children in group A (39 feet) had lower recurrence rate (p = 0.02), a better Dimeglio grade (p = 0.005), and a better Pirani score (p 0.001) at the most recent evaluation than children in group B (nine feet). However, recurrent metatarsus adductus was more prevalent in group A. Conclusion. The DSP exercise should be advocated as a supplemental modality but cannot substitute the regular use of FAB.

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