scholarly journals PO 18205 - Case report

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 45S
Author(s):  
Rui Dos Santos Barroco ◽  
Antonio Candido de Paula Neto ◽  
Douglas Hideki Ikeuti ◽  
Letícia Zaccaria Prates de Oliveira ◽  
Bruno Rodrigues De Miranda ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Posterior Tibial Tendon ◽  
Longus Tendon ◽  
Posterior Tibial ◽  
Extensor Hallucis Longus ◽  
Anterior Tibial ◽  
Peroneus Brevis

Introduction: Anterior tibial tendon ruptures are quite rare. All studies found in the literature refer to the adult population, with no reports of this injury in the pediatric population. The literature on the treatment of this injury is scarce. Objective: To report the case of a child subjected to peroneus brevis tendon transfer for the sequela of a severe anterior tibial and extensor hallucis longus tendon injury. Methods: Male patient, 8 years of age, was run over by a car and sustained an exposed tibial fracture and major soft-tissue injury of the foot. Anterior tibial, posterior tibial and extensor hallucis longus tendon rupture were detected. Damage control, soft-tissue cover and conservative treatment of the anterior tibial and extensor hallucis longus tendons were initially performed; however, the conservative treatment failed, and valgus deformity and pronation developed. Subsequently, tenoplasty (posterior tibial tendon), the Strayer procedure (gastrocnemius recession of the Achilles tendon) and elongation of the peroneus longus and brevis tendons were also performed, but the patient experienced deformity recurrence. Subcutaneous peroneus brevis tendon transfer to the navicular was then chosen, with postoperative use of an ankle-foot orthosis (AFO) and physical therapy. Results: The deformity was improved. The patient progressed with satisfactory gait and strength. He currently walks without support using an AFO. Both the patient and his family were satisfied with the functional outcome of the tendon transfer. Conclusion: Reconstruction of anterior tibial and extensor hallucis longus tendon rupture through peroneus brevis tendon transfer is a viable and reliable treatment option. No complications such as adhesions or correction failure were observed, thus corroborating the viability of this method.

scholarly journals Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

2021 ◽  
Author(s):  
Miguel Estuardo Rodríguez-Argueta ◽  
Carlos Suarez-Ahedo ◽  
César Alejandro Jiménez-Aroche ◽  
Irene Rodríguez-Santamaria ◽  
Francisco Javier Pérez-Jiménez ◽  
...  
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Common Peroneal Nerve ◽  
Posterior Tibial Tendon ◽  
Drop Foot ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Peroneal Nerve Injury ◽  
Improve Reliability

Split Posterior Tibial Tendon Transfer for Spastic Equinovarus Foot Deformity

Foot & Ankle ◽  
1989 ◽  
Vol 10 (2) ◽  
pp. 65-67 ◽  
Author(s):  
Phillip A. Medina ◽  
Robert R. Karpman ◽  
Anthony T. Yeung
Keyword(s):  
Tendon Transfer ◽  
Excellent Result ◽  
Foot Deformities ◽  
Posterior Tibial Tendon ◽  
Foot Deformity ◽  
Fair Result ◽  
Posterior Tibial ◽  
The Mean ◽  
Peroneus Brevis ◽  
Rehabilitative Services

This paper describes a simplified technique for split posterior tibial tendon transfer in the treatment of spastic equinovarus deformity of the foot. Thirteen children with spastic equinovarus foot deformities were treated at Children's Rehabilitative Services in Phoenix, Arizona, from 1983 to 1986. The technique was modified in 10 of the 13 patients by attaching the split posterior tibial tendon more proximally to the peroneus brevis, compared to a more distal attachment as described by other authors. The mean length of followup was 21 months. Eleven patients obtained a good or excellent result. Two patients were considered to have a fair result. No poor results or complications were noted in any of the patients. It was felt that the split posterior tibial tendon transfer was an effective procedure for correction of spastic equinovarus as reported by other authors. Modification of the technique significantly simplifies the operation by requiring less dissection while still producing favorable results.

Combined Rupture of the Anterior Tibial and Posterior Tibial Tendons: A New Clinical Entity

1994 ◽  
Vol 15 (9) ◽  
pp. 508-511 ◽  
Author(s):  
Tye J. Ouzounian
Keyword(s):  
Severe Pain ◽  
Tendon Rupture ◽  
Elderly Women ◽  
Valgus Deformity ◽  
Clinical Entity ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Significant Clinical Improvement

Two patients with combined rupture of the anterior tibial tendon and posterior tibial tendon are described. Both were elderly women with a gradually progressive valgus deformity of the ankle/hindfoot and severe pain. Arthrodesis procedures were performed in both patients; however, postoperative complications prevented significant clinical improvement. This combined tendon rupture is presented to document a new clinical entity.

The Bridle Procedure in the Treatment of Paralysis of the Foot

Foot & Ankle ◽  
1992 ◽  
Vol 13 (2) ◽  
pp. 63-69 ◽  
Author(s):  
Raoul P. Rodriguez
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Valgus Deformity ◽  
Lateral Malleolus ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Peroneus Longus ◽  
Posterior Tibial ◽  
Anterior Tibial

The Bridle procedure consists of a posterior tibial tendon transfer through the interosseous membrane to the dorsum of the foot with a dual anastomosis to the tendon of the anterior tibial and a rerouted peroneus longus in front of the lateral malleolus. This procedure is performed to restore loss of dorsiflexion and to balance the foot, preventing a secondary varus or valgus deformity. The procedure was performed in 10 patients with 11 feet with paralysis of dorsiflexion of the foot. All are brace-free. The results are better in patients with peroneal nerve palsy secondary to trauma.

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