Tibialis Anterior Tendon Transfer

Mulhern, Jennifer L.; Protzman, Nicole M.; Brigido, Stephen A.

doi:10.1016/j.cpm.2015.06.003

Cited by 16 publications

(9 citation statements)

References 21 publications

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“…The increased functional supination is due to a strong, active tibialis anterior and relatively weaker peroneal musculature. 51,52 In these cases, it is recommended to transfer the tibialis anterior laterally to treat the functional supination and to amplify foot eversion. 51,52…”

Section: Physiopathological Considerationsmentioning

confidence: 99%

Understanding the foot's functional anatomy in physiological and pathological conditions: The calcaneopedal unit concept

Ghanem

Massaad

Assi

et al. 2019

Journal of Children's Orthopaedics

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Background A thorough review of the available orthopaedic literature shows significant controversies, inconsistencies and sparse data regarding the terminology used to describe foot deformities. This lack of consensus on terminology creates confusion in professional discussions of foot anatomy, pathoanatomy and treatment of deformities. The controversies apply to joint movements as well as static relationships between the bones. Description The calcaneopedal unit (CPU) is a specific anatomical and physiological entity, represented by the entire foot excepted the talus. The calcaneus, midfoot and forefoot are solidly bound by three strong ligaments that create a unit that articulates with the talus. The movement of the CPU is complex, as it rotates under the talus, around the axis of Henke that coincides with the talo-calcaneal ligament of Farabeuf. This calcaneopedal unit is deformable. It is compared with a twisted plate, able to adapt to many physiological situations in standing position, in order to acheive a plantigrade position. Moreover, the calcaneopedal unit and the talo-tibiofibular complex are interdependent; rotation of the latter produces morphologic modifications inside the former and vice versa. Purpose This paper is a review article of this concept and of its physiopathological applications.

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Section: Physiopathological Considerationsmentioning

confidence: 99%

Understanding the foot's functional anatomy in physiological and pathological conditions: The calcaneopedal unit concept

Ghanem

Massaad

Assi

et al. 2019

Journal of Children's Orthopaedics

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“…There were perspectives that tendon transfer should be added in all patients at the time of nerve reconstruction [40]. However, additional surgeries led to greater trauma and increased the risk of uncertain complications, including infection, overcorrection, instability, rupture of tendon transfer and cocked-up hallux [41]. Our research suggested that though traction lesions could be extensive, the prognosis seemed to vary considerably.…”

Section: Discussionmentioning

confidence: 87%

Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Liu

Yushan

Liu

et al. 2021

Preprint

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Background：Common peroneal nerve (CPN) injury is one of the most common nerve injuries in the lower extremities and the motor functional recovery of injured common peroneal nerve (CPN) was often unsatisfactory, the mechanism of which is still controversial. The purpose of this retrospective study was to determine the prognostic factors in patients who underwent surgery for CPN injury and provide a tool for clinicians to assess the patients’ prognosis. Methods：This is a retrospective cohort study of all patients who underwent neural exploration for injured CPN from 2009 to 2019. A total of 387 patients with postoperative follow-up more than 12 months were included in the final analysis. We used univariate logistics regression analyses to explore explanatory variables which were associated with recovery of neurological function. By applying multivariable logistic regression analysis, we determined variables incorporated into clinical prediction model, developed a nomogram by the selected variables, and then assessed discrimination of the model by the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.Results：The case group included 67 patients and the control group 320 patients. Multivariate logistic regression analysis showed that area (urban vs rural, OR=3.35), occupation(“blue trouser” worker vs “white-trouser” worker, OR=4.39), diabetes (OR=11.68), cardiovascular disease (OR=51.35), knee joint dislocation (OR=14.91), proximal fibula fracture (OR=3.32), tibial plateau fracture (OR=9.21), vascular injury (OR=5.37) and hip arthroplasty (OR=75.96) injury increased the risk of poor motor functional recovery of injured CPN, while high preoperative muscle strength (OR=0.18) and postoperative knee joint immobilization (OR=0.11) decreased this risk of injured CPN. AUC of the nomogram was 0.904 and 95% CI was 0.863-0.946.Conclusions：Area, occupation, diabetes, cardiovascular disease, knee joint dislocation, proximal fibula fracture, tibial plateau fracture, vascular injury and hip arthroplasty injury are independent risk factors of motor functional recovery of injured CPN, while high preoperative muscle strength and postoperative knee joint immobilization are protective factor of motor functional recovery of injured CPN. The prediction nomogram can provide a tool for clinicians to assess the prognosis of injured CPN.

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“…Accurate gait analysis should be performed after the gait pattern is mature, because dynamic deformity during gait often originates from an overactive muscle and weak antagonists during gait. 22 Gait assessment for tendon transfer has been recommended after at least 2.5 to 3 years old, namely, after ossification of the cuneiforms. 6 Therefore, the need for tendon transfer at the time of SSTR in our patients could not be accurately determined because of their young age (the mean age at SSTR was 28.5 months).…”

Section: Discussionmentioning

confidence: 99%

Radiographic Prognostic Factors for Selective Soft Tissue Release After Ponseti Failure in Young Pediatric Clubfoot Patients

2018

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Tibialis Anterior Tendon Transfer

Cited by 16 publications

References 21 publications

Understanding the foot's functional anatomy in physiological and pathological conditions: The calcaneopedal unit concept

Understanding the foot's functional anatomy in physiological and pathological conditions: The calcaneopedal unit concept

Prognostic factors in patients who underwent surgery for common peroneal nerve injury：a nest case-control study

Radiographic Prognostic Factors for Selective Soft Tissue Release After Ponseti Failure in Young Pediatric Clubfoot Patients

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