Transfer of half the calcaneal tendon to the dorsum of the foot for paralytic equinus deformity

Fernández-Palazzi, F.; Medina, J.R. García; Marcano, N.

doi:10.1007/bf00265742

Cited by 2 publications

(2 citation statements)

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“…14,20,25,26 Antagonist muscles can be utilized when synergistic muscles are not available for transfer. 2,4,11,13,14,25 Retraining of the antagonist muscles after surgery can take several months. The transferred muscle should have adequate strength and excursion to replace the functional loss.…”

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confidence: 99%

The Bridle Procedure in the Treatment of Paralysis of the Foot

Rodriguez

1992

Foot & Ankle

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The Bridle procedure consists of a posterior tibial tendon transfer through the interosseous membrane to the dorsum of the foot with a dual anastomosis to the tendon of the anterior tibial and a rerouted peroneus longus in front of the lateral malleolus. This procedure is performed to restore loss of dorsiflexion and to balance the foot, preventing a secondary varus or valgus deformity. The procedure was performed in 10 patients with 11 feet with paralysis of dorsiflexion of the foot. All are brace-free. The results are better in patients with peroneal nerve palsy secondary to trauma.

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confidence: 99%

The Bridle Procedure in the Treatment of Paralysis of the Foot

Rodriguez

1992

Foot & Ankle

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“…It might cause problems in gait, including lack of normal equilibrium, metatarsal head callosities, unstable ankle, pelvis tilting, and high energy consumption [1,2]. Current options for the treatment of equinus deformity in children with CP include serial casting [3,4], orthotic devices [5,6], botulinum toxin A injection [7,8], selective fascicular neurotomy [9], calcaneal tendon transfer [10], and several different methods of Achilles tendon lengthening (ATL), such as percutaneous lengthening [11,12], Vulpius [13], Baker [14,15], White [16], Baumann [17], and Z-lengthening [18,19] procedures. The current consensus is that the better surgical option for equinus contracture in most children with CP is lengthening the gastrocnemius aponeurosis rather than lengthening the Achilles tendon.…”

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confidence: 99%

Mesh Achilles tendon lengthening – a new method to treat equinus deformity in patients with spastic cerebral palsy

Lin

Lin²,

Huang³

et al. 2013

Journal of Pediatric Orthopaedics B

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Equinus of the ankle is a common deformity in spastic cerebral palsy. Many methods have been developed to lengthen the Achilles tendon to correct the deformity. A new mesh Achilles tendon lengthening (ATL) procedure that might decrease immobilization and promote recovery was performed in 36 tendons with equinus deformity (22 patients, average age=6.2). The results were compared with those of two other methods: the Vulpius group and the Z-lengthening group. The corrected dorsiflexion angle of the ankle at a subsequent 2-year follow-up of the mesh ATL and Vulpius groups matched (25.5±3.0 and 27.1±3.5°, respectively), whereas that of the Z-lengthening group was higher (33.9±3.8°). Nevertheless, statistics of the timing of each patient's readiness to begin rehabilitation and walking as well as gaining better stability for running and one-legged hopping indicated that the mesh ATL group recovered significantly quicker than the Vulpius and Z-lengthening groups. The mesh ATL procedure achieves a successful correction of the equinus deformity in spastic cerebral palsy comparable with that of the Vulpius procedure, with the advantage of preserving the gastrocnemius without a complete section. This confers greater antigravity stability and quicker recovery in patients.

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Transfer of half the calcaneal tendon to the dorsum of the foot for paralytic equinus deformity

Cited by 2 publications

References 1 publication

The Bridle Procedure in the Treatment of Paralysis of the Foot

The Bridle Procedure in the Treatment of Paralysis of the Foot

Mesh Achilles tendon lengthening – a new method to treat equinus deformity in patients with spastic cerebral palsy

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