Deformity of the Foot Following Anterior Transfer of the Posterior Tibial Tendon and Lengthening of the Achilles Tendon for Spastic Equinovarus

Schneider, Monroe; Balon, Kornel

doi:10.1097/00003086-197706000-00017

Cited by 18 publications

(10 citation statements)

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“…Although this transfer has been advocated and performed in patients with cerebral palsy, the results are less predictable because of the spasticity of the muscles about the ankle. 1,4,7,8,10,13,14,16,17 Historically, the posterior tibial tendon was rerouted to the dorsum of the foot by going around the medial border of the tibia, but this procedure has been largely abandoned. When transferring the posterior tibial tendon to the dorsum of the foot, most surgeons prefer going through the interosseous membrane.…”

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confidence: 99%

Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

D’Astous

MacWilliams

Kim

et al. 2005

Journal of Pediatric Orthopaedics

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Transfer of the posterior tibialis tendon to the dorsum of the foot is a commonly performed procedure in conditions that weaken ankle dorsiflexors and evertors, resulting in equinovarus foot deformities. When transferring the tendon, surgeons have the choice of routing the tendon deep to the extensor retinaculum or superficial to it. This study compares the biomechanics of these two routing methods. Seven cadaveric lower limbs were tested by applying known forces to the transferred posterior tibialis tendon. Resultant kinematics indicated that passing superficial to the retinaculum resulted in a significantly more efficient motion than transfer deep to the retinaculum.

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confidence: 99%

Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

D’Astous

MacWilliams

Kim

et al. 2005

Journal of Pediatric Orthopaedics

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“…8,12 The objectives of each procedure is to address the spastic equinovarus deformity secondary to overactivity of the posterior tibial muscle, the procedures must (1) produce and maintain a plantigrade foot that functions appropriately, (2) prevent skeletal deformity, and (3) eliminate the need for bracing during gait. 12,13 Transfer of the PTT through the interosseus membrane has been popular 5,9,17,[20][21][22] and has been used frequently in our department with good results in welldefined indlcations. "?…”

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confidence: 99%

Split Posterior Tibial Tendon Transfer Through the Interosseus Membrane in Spastic Equinovarus Deformity

et al. 1995

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The split posterior tibial tendon transfer procedure was first reported by Green for correction of equinovarus hindfoot deformity in patients with cerebral palsy. A modification of the split posterior tibial tendon transfer combined with an Achilles tendon lengthening is described in 17 children (21 procedures) with a minimum follow-up of 3 years. This modified technique is indicated in young children with a continuously spastic posterior tibial tendon to correct a dynamic equinovarus. It restores active dorsiflexion when the anterior tibial and extensor muscles are weak. The anterior half of the split tibialis posterior is transferred through the interosseus membrane to the dorsum of the foot. Excellent or good results and two poor results were noted after a mean follow-up of 29 months. In the patients with an excellent or good result, marked improvement of their equinovarus foot deformity in stance and swing phase of gait was seen. In two patients, the procedure failed because of technical errors.

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“…Using tendons as distal attachment points helped to avoid foot deformities resulting from direct insertion into bone. 8 The most frequently used "bridle" transfer described by Riordan et al 9 uses a tibial posterior tendon transfer through the interosseus membrane, with dual insertion into the tendons of the tibialis anterior and the rerouted peroneus longus muscle. [10][11][12] Paradoxically, all of these procedures use the transfer of antagonistic plantar-flexing muscles of the posterior muscle compartments to restore dorsiflexion.…”

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Neuromusculotendinous Transfer

Ninković

2013

Plastic and Reconstructive Surgery

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To compensate for the loss of function of the anterior muscle compartment, neuromusculotendinous transfer of the gastrocnemius muscle has proved to be highly successful. Voluntary movement of the transferred muscle and fully automatic walking was achieved in the majority of patients treated. In contrast to the commonly used treatment of tibialis posterior muscle transfer, no reeducation of the transferred muscle was needed.

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Deformity of the Foot Following Anterior Transfer of the Posterior Tibial Tendon and Lengthening of the Achilles Tendon for Spastic Equinovarus

Cited by 18 publications

References 0 publications

Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

Split Posterior Tibial Tendon Transfer Through the Interosseus Membrane in Spastic Equinovarus Deformity

Neuromusculotendinous Transfer

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