Posterior Tibial Tendon Transfer: Results of Fixation to the Dorsiflexors Proximal to the Ankle Joint

Wagenaar, Frank-Christiaan B.M.; Louwerens, Jan Willem K.

doi:10.3113/fai.2007.1128

Cited by 37 publications

(21 citation statements)

References 39 publications

(69 reference statements)

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“…It is possible that the group size was too small to show subtle differences and this warrants additional studies with larger numbers of patients. The Stanmore scores for patients in this study [Table 4] were comparable to scores for patients having foot-drop correction by combined anterior transfer of the tibialis posterior and flexor hallucis longus [15] and by insertion of the tibialis tendon proximal to the ankle [16]. …”

Section: Discussionmentioning

confidence: 68%

Early Active Motion versus Immobilization after Tendon Transfer for Foot Drop Deformity: A Randomized Clinical Trial

Rath

Schreuders

Stam

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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BackgroundImmobilization after tendon transfers has been the conventional postoperative management. Several recent studies suggest early mobilization does not increase tendon pullout.Questions/purposesTo confirm those studies we determined whether when compared with immobilization early active mobilization after a tendon transfer for foot-drop correction would (1) have a similar low rate of tendon insertion pullout, (2) reduce rehabilitation time, and (3) result in similar functional outcomes (active ankle dorsiflexion, plantar flexion, ROM, walking ability, Stanmore score, and resolution of functional problems.MethodsWe randomized 24 patients with surgically corrected foot-drop deformities to postoperative treatment with early mobilization with active motion at 5 days (n = 13) or 4 weeks of immobilization with active motion at 29 days (n = 11). In both groups, the tibialis posterior tendon was transferred to the extensor hallucis longus and extensors digitorum communis for foot-drop correction. Rehabilitation time was defined as the time from surgery until discharge from rehabilitation with independent walking. The minimum followup was 16 months (mean, 19 months; range, 16–38 months) in both groups.ResultsWe observed no case of tendon pullout in either group. Rehabilitation time in the mobilized group was reduced by an average of 15 days. The various functional outcomes were similar in the two groups.ConclusionIn patients with Hansen’s disease, an early active mobilization protocol for foot-drop correction has no added risk of tendon pullout and provides similar functional outcomes compared with immobilization. Early mobilization had the advantage of earlier restoration of independent walking.Level of Evidence Level I, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 68%

Early Active Motion versus Immobilization after Tendon Transfer for Foot Drop Deformity: A Randomized Clinical Trial

Rath

Schreuders

Stam

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…The phenomenon of compensation of motor organs in the human body is viewed as an ability to replace (through recovery) the function lost by the damaged organ or taking over this function entirely by another healthy organ [1]. The key role in the process is played by specific control and plasticity of the nervous system [2, 3]. In clinical practice, compensation of motor organ dysfunction is often divided into external compensation (e.g., the use of orthopaedic aids) and internal compensation (e.g., when a subject with a shorter lower limb moves on their toes) [4].…”

Section: Introductionmentioning

confidence: 99%

Effect of Drop Foot on Spatiotemporal, Kinematic, and Kinetic Parameters during Gait

Wiszomirska

Błażkiewicz

Kaczmarczyk

et al. 2017

Applied Bionics and Biomechanics

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Background. The complexity of the structure and function of a living body can be affected by disorders and can cause various dysfunctions. Objective. The aim of this study was to determine compensatory mechanisms in subjects with drop foot during gait. Methods. The study evaluated 10 subjects with drop foot (DF) whose results were compared to a group of 10 healthy controls (C). Spatiotemporal, kinematic, and kinetic parameters during the gait cycle were collected using Vicon system synchronized with Kistler platforms. Results. Spatiotemporal, kinematic, and kinetic parameters were significantly different between the analysed groups. In the DF group, the subjects walked almost 47% slower and performed 60% less steps per minute compared to the C group. The main problem in the DF group was insufficient ankle dorsiflexion in the 0–10% of the gait cycle. Mean values in the groups during the first 10% of the gait cycle were as follows: DF (−10.42 ± 5.7°) and C (−2.37 ± 1.47°), which affected the substantial differences in the values of muscle torque: DF (0.2 ± 0.1 Nm/kg) and C (−0.26 ± 0.06 Nm/kg). Conclusions. Comparative analysis for joint angles and torques demonstrated that the mechanism of compensation is the most noticeable in the knee joint and less in the hip joint.

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“…The Stanmore system has been shown to be a useful tool for assessing functional outcome in the preoperative and postoperative periods of tibial posterior tendon transfer. 16,18,[22][23][24][25][32][33][34][35][36] In the current study of 13 patients, the functional results using the Stanmore system were the following: 5 (38.4%) patients had excellent results, 5 (38.4%) had good results, 2 (15.3%) had fair results, and 1 (7.6%) had a poor result. Similar results were observed by Unsatisfactory results were observed in 3 cases, 2 fair (Nos.…”

Section: Discussionmentioning

confidence: 98%

A Method Used to Access the Functional Outcome of Tibial Posterior Tendon Transfer for Foot Drop in Leprosy

Reis

Knackfuss

Verçosa

et al. 2011

Foot & Ankle Specialist

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Posterior Tibial Tendon Transfer: Results of Fixation to the Dorsiflexors Proximal to the Ankle Joint

Abstract: Attachment of a split posterior tibial tendon to the extensor tendons proximal to the ankle joint provides results equivalent to other procedures and can be considered a viable operative alternative because it is less difficult and more straightforward than other techniques.

Cited by 37 publications

References 39 publications

Early Active Motion versus Immobilization after Tendon Transfer for Foot Drop Deformity: A Randomized Clinical Trial

Early Active Motion versus Immobilization after Tendon Transfer for Foot Drop Deformity: A Randomized Clinical Trial

Effect of Drop Foot on Spatiotemporal, Kinematic, and Kinetic Parameters during Gait

A Method Used to Access the Functional Outcome of Tibial Posterior Tendon Transfer for Foot Drop in Leprosy

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