No abstract

No abstract

RESUMOObjetivos: Analisar e documentar as vantagens da transferência do tendão tibial posterior nos casos de pé caído, assim como avaliar o grau de restauração biomecânica do pé e a melhora na qualidade de vida do paciente. Métodos: Sete pacientes com diagnóstico de pé caído foram submetidos ao tratamento cirúrgico através da técnica de transferência do tendão tibial posterior via membrana sindesmótica e fixação do mesmo na cunha lateral, utilizando parafuso de interferência. Resultados: Os pacientes foram submetidos ao questionário de Stanmore no pré e pós-operatório, evidenciando melhora em todos os critérios do questionário. Conclusão: Através do trabalho foi possível evidenciar que a técnica cirúrgica adotada é um eficaz método de correção da patologia, com melhora da dor, uso de sapatos, extinção da órtese de uso regular, ganho de força muscular e melhora da capacidade funcional. Nível de Evidência IV; Estudos Terapêuticos; Série de Casos.Descritores: Pé equino; Transferência tendinosa; Deformidades do pé. ABSTRACTObjectives: To analyse and report the advantages of posterior tibial tendon transfer amongst patients with drop-foot as well as evaluate the degrees of foot biomechanical restoration and patient quality of life improvement. Methods: Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw. Results: The patients completed the Stanmore questionnaire before and after surgery to report their improvements with regard to all of the questionnaire criteria. Conclusion: The adopted surgical technique is an effective method of disease correction, with associated pain improvement, resumption of wearing shoes, elimination of the regular use of an ankle-foot orthosis (AFO), muscle strength gain, and functional capacity improvement. Level of Evidence IV; Therapeutic Study; Case Series. Keywords: Equinus deformity; Tendon transfer; Foot deformities.Como citar esse artigo: Vieira LMX, Fleury RBC, Nunes BS, Martins JS. Costa EN. Análise pós-cirúrgica da transferência do tendão tibial posterior: uma alternativa para casos de pé caído. Sci J Foot Ankle. 2018;12(2):145-9.

Objective To evaluate the results of arthrodesis with Ilizarov fixator with tibiocalcaneana. Methods We studied 12 patients with a mean age of 35 years, and 9 (75%) men and 3 (25%) women, underwent arthrodesis tibiocalcaneana. The diagnosis in the preoperative talus infection. We used a modified surgical technique Reckling (6 patients) and the Ilizarov technique, modified by Catagni (6 patients). Patients were evaluated by the AOFAS scale research and patient satisfaction. Results Union was achieved in 100% of cases. The mean time to healing was 6 months (range 4-12 months) and mean duration of external fixator removal was 9 months (range 4-13 months). Stretching was performed in 6 patients with an average of 4 cm. The follow-up with Vancomycin lasted around 6 months. The average AOFAS score was 72.5 points (range 57 to 89 points). All patients were satisfied with the result. Conclusion Despite the small number of cases, arthrodesis tibiocalcaneana seemed to be a good solution for cases of complex pathologies of the talus, such as infection, resulting in bone healing, pain relief and patient satisfaction.

ObjectiveTo evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy.MethodsRetrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail. All patients were evaluated for fusion time, AOFAS and VAS scores, satisfaction, and complications of surgery. The mean follow-up was 36 months (range 6–60 months).ResultsThe union rate was 82%, and the consolidation occurred on average at 16 weeks (10–24 weeks). The pos-operative AOFAS score improved in 65.5% (average of 57.7 on neurological cases and 75.7 on cases pos-traumatic) and VAS score improved 94.1% (average of 2.3 on neurological cases and 4,2 on post-traumatic cases), and 86% of patients were satisfied with the procedure performed. Complications occurred in 11 patients (38%), including pseudoarthrosis (17.24%), infection (17.24%), material failure (13.8%) and fracture (13.8%).ConclusionTibiotalocalcaneal arthrodesis with retrograde intramedullary nail proved to be a good option for saving the ankle joint, with improvement of clinical and functional scores (AOFAS = 65.5% and VAS = 94.1%).