Split Tibialis Posterior Tendon Transfer in the Treatment of Spastic Equinovarus Foot

O’Byrne, J.; Kennedy, Ann Blair; Jenkinson, A.; OʼBrien, Timothy M.

doi:10.1097/01241398-199707000-00014

Cited by 15 publications

(26 citation statements)

References 16 publications

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“…Equinovarus deformities can be managed by concomitant injection of tibialis posterior at the time of calf injection or by split transfer of tibialis posterior (Green, 1991; Boyd and Graham, 1997; O’Byrne et al. , 1997).…”

Section: Common Postural/gait Patterns Spastic Hemiplegia (Figure 1)mentioning

confidence: 99%

Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

Rodda

Graham

2001

Euro J of Neurology

350

270

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Classifications of gait and postural patterns in spastic hemiplegia and spastic diplegiía are presented, based on the work of previous authors. The classifications are used as a biomechanical basis, linking spasticity, musculoskeletal pathology in the lower limbs, and the appropriate intervention strategies. The choice of target muscles for spasticity management, the muscle contractures requiring lengthening and the choice of orthotics are then linked to the underlying gait pattern.

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Section: Common Postural/gait Patterns Spastic Hemiplegia (Figure 1)mentioning

confidence: 99%

Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

Rodda

Graham

2001

Euro J of Neurology

350

270

View full text Add to dashboard Cite

show abstract

“…O'Byrne et al [64] reported on 16 patients with spastic cerebral palsy who underwent split tibialis posterior tendon transfer for equinovarus deformity. Their indications include a spastic equinovarus deformity that was most marked in swing phase and just before initial contact, and flexible on physical exam.…”

Section: Equinovarusmentioning

confidence: 99%

Treatment of spastic diplegia in patients with cerebral palsy: Part II

Aiona¹,

Sussman²

2004

Journal of Pediatric Orthopaedics, Part B

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This review article describes the evaluation, treatment options, and expected outcomes for many of the common deformities of the lower extremities in patients with cerebral palsy. The evaluation tools including gait analysis will be applied to each specific deformity. Dynamic components are addressed with spasticity management and appropriate muscle and tendon procedures. The static components are treated with bony procedures, including various osteotomies and arthrodesis, incorporating biomechanical principles.

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“…Previous studies have shown that this is a very effective solution for flexible varus, in the younger child (Green, 1991). However, studies using gait analysis have also shown that when lengthening of the Achilles tendon is routinely used with a split tibialis posterior transfer, there can be a high incidence of calcaneus gait and over lengthening of the calf (O’Byrne et al. , 1997).…”

Section: Hemiplegic Lower Limbmentioning

confidence: 99%

Botulinum toxin type A management of spasticity in the context of orthopaedic surgery for children with spastic cerebral palsy

Graham

2001

Euro J of Neurology

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Cerebral palsy is the most common cause of physical disability affecting children in developed countries. Although cerebral palsy is, by definition, a 'static encephalopathy' the associated musculoskeletal pathology is progressive and current definitions are therefore somewhat inadequate. Understanding the stages of the musculoskeletal pathology is fundamental to understanding current management strategies, including spasticity management, strengthening programmes and deformity correction by orthopaedic surgery. In this review, a number of new management strategies are described, in which spasticity management by intramuscular injections of botulinum toxin type A and deformity correction, by orthopaedic surgery, are combined.

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Split Tibialis Posterior Tendon Transfer in the Treatment of Spastic Equinovarus Foot

Cited by 15 publications

References 16 publications

Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

Treatment of spastic diplegia in patients with cerebral palsy: Part II

Botulinum toxin type A management of spasticity in the context of orthopaedic surgery for children with spastic cerebral palsy

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