Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

D’Astous, Jacques; MacWilliams, Bruce A.; Kim, SeungJae; Bachus, Kent N.

doi:10.1097/01.bpo.0000149862.58024.3f

Cited by 17 publications

(12 citation statements)

References 18 publications

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“…We surprisingly even found that TMUR (under retinaculum) had significantly better ankle dorsiflexion than TMAR. This contrasts the finding of D'Astous et al, 3 who showed that the above retinaculum transfer was more efficient than below the reticulum. It has to be noted that the study by D'Astous et al did not recreate a (close to) normalana tomic stance phase like our study did.…”

Section: Discussioncontrasting

confidence: 91%

Biomechanical Evaluation of Circumtibial and Transmembranous Routes for Posterior Tibial Tendon Transfer for Dropfoot

Wagner

Zanolli

et al. 2018

Foot Ankle Int.

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The CT transfer had the highest tendon gliding resistance, achieved less dorsiflexion and had a supination moment. Clinical Relevance We suggest that the transmembranous tibialis posterior tendon transfer should be the transfer of choice. The potential bowstringing effect when performing a tibialis posterior tendon transfer subcutaneously (TMAR) could be avoided if the transfer is routed under the retinaculum, without significant compromise of the final function and even with a possible better ankle range of motion.

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Section: Discussioncontrasting

confidence: 91%

Biomechanical Evaluation of Circumtibial and Transmembranous Routes for Posterior Tibial Tendon Transfer for Dropfoot

Wagner

Zanolli

et al. 2018

Foot Ankle Int.

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“…In our protocol, we reattach the PTT to the lateral cuneiform to increase tendon length while maintaining neutral supination and pronation of the foot [ 43 ]. The PTT is routed superficial to the extensor retinaculum to increase dorsiflexion efficiency by increasing the moment arm [ 44 ]. We tension the PTT in slight plantarflexion to establish maximum plantarflexion excursion and optimal muscle tension which allows the generation of the maximal plantarflexion force that is critical in high-level activities such as running.…”

Section: Discussionmentioning

confidence: 99%

Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration

Khan

Switaj

et al. 2014

J Orthop Surg Res

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BackgroundCommon peroneal nerve palsy leading to foot drop is difficult to manage and has historically been treated with extended bracing with expectant waiting for return of nerve function. Peroneal nerve exploration has traditionally been avoided except in cases of known traumatic or iatrogenic injury, with tendon transfers being performed in a delayed fashion after exhausting conservative treatment. We present a new strategy for management of foot drop with nerve exploration and concomitant tendon transfer.MethodWe retrospectively reviewed a series of 12 patients with peroneal nerve palsies that were treated with tendon transfer from 2005 to 2011. Of these patients, seven were treated with simultaneous peroneal nerve exploration and repair at the time of tendon transfer.ResultsPatients with both nerve repair and tendon transfer had superior functional results with active dorsiflexion in all patients, compared to dorsiflexion in 40% of patients treated with tendon transfers alone. Additionally, 57% of patients treated with nerve repair and tendon transfer were able to achieve enough function to return to running, compared to 20% in patients with tendon transfer alone. No patient had full return of native motor function resulting in excessive dorsiflexion strength.ConclusionThe results of our limited case series for this rare condition indicate that simultaneous nerve repair and tendon transfer showed no detrimental results and may provide improved function over tendon transfer alone.

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“…2 In time, with the contribution of tibialis posterior tendon, equinovarus deformity develops. 3,4 The aim of treatment in foot drop is dorsiflexion of the foot and restoration of normal heeltoe gait. 5 Tenodesis, arthrodesis, and tendon transfer are among surgical treatment options for foot drop.…”

Section: Introductionmentioning

confidence: 99%

The role of tibialis posterior tendon transfer in foot drop by circumtibial route and evaluation of the results according to criteria

Chaurasia¹

2019

Int Surg J

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Background: The transfer of the tibialis posterior tendon to the anterior aspect of the ankle not only replaces the function of the paralyzed muscles, but also removes the deforming force on the medial aspect of the foot. This study was conducted to find the role of tibialis posterior tendon transfer in foot drop by circumtibial route and with evaluation of the results according to criteria.Methods: This study was conducted in MLB Medical College and Hospital, Jhansi. Patients of paralytic foot drop due to leprosy with a moderately strong tibialis posterior muscle were selected from the outpatient department of Orthopaedics and Leprosy reconstructive surgery units. After taking informed consent, detailed history was taken. Data was analyzed using Microsoft Excel and the difference was considered to be significant if ‘p’ value was <0.05.Results: Eleven patients were operated. Majority were males (82%). Eight patients (73%) had excellent and good results which were aged less than forty years. Two cases showed excellent results after corrective surgery that had deformities from 31 to 36 months before operation. Out of six patients who were taking antileprotic treatment, one (9.1%) showed excellent and three (27.3%) showed good results.Conclusions: Method of anterior transfer of tibialis posterior for correction of foot drop has given encouraging results in a fairly large percentage of cases. The greatest utility of such a transfer is that of allowing the freedom of normal mobility in comparison to bony stabilization. After correction of deformity and disability the patient’s mental health is improved.

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Superficial Versus Deep Transfer of the Posterior Tibialis Tendon

Cited by 17 publications

References 18 publications

Biomechanical Evaluation of Circumtibial and Transmembranous Routes for Posterior Tibial Tendon Transfer for Dropfoot

Biomechanical Evaluation of Circumtibial and Transmembranous Routes for Posterior Tibial Tendon Transfer for Dropfoot

Treatment of peroneal nerve injuries with simultaneous tendon transfer and nerve exploration

The role of tibialis posterior tendon transfer in foot drop by circumtibial route and evaluation of the results according to criteria

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