The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi
Introduction: Tibialis anterior tendon transfer (TATT) is a common treatment method used in the dynamic supination of the foot due to sequelae or relapse of pes equinovarus (PEV). In this method, the TAT is transferred from its insertion on the medial cuneiform to the lateral cuneiform. Therefore, T...
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| description | Introduction: Tibialis anterior tendon transfer (TATT) is a common treatment method used in the dynamic supination of the foot due to sequelae or relapse of pes equinovarus (PEV). In this method, the TAT is transferred from its insertion on the medial cuneiform to the lateral cuneiform. Therefore, TATT surgery may have a corrective effect on metatarsus adducus deformity by creating a force vector that pushes the middle of the foot from medial to lateral. However, there is limited literature on the effect of TATT on metatarsus adductus deformity, which is one of the components of clubfoot. The aim of our study was to investigate the effect of TATT on metatarsus adductus deformity. Methods: Sixteen feet of 11 patients who underwent TATT with the diagnosis of PEV between 2007-2015 were included in the study. Pre- and postoperative talus- 1. metatarsal angle, talocalcaneal angle and 4. metatars-metaphyseal angle were measured on standing antero-posterior radiographs. The correction rate of metatarsus adductus deformity was statistically analyzed. Results: After a mean follow-up of 26 [+ or -] 15 months, the mean talus--1st metatarsal angle decreased from 18.8 [+ or -] 1 degrees to 10.9 [+ or -] 6 degrees, the mean talocalcaneal angle from 22.5 degrees [+ or -] 8.6 to 24.4 [+ or -] 9.3 degrees and the mean 4th metatarsalmetaphyseal angle from 38 [+ or -] 14 degrees to 27 [+ or -] 11 degrees after TATT. While there were statistically significant radiological corrections in talus--1st metatarsal angle and 4th metatarsalmetaphyseal angle (p |
| doi_str_mv | 10.4274/imj.galenos.2018.15807 |
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| fullrecord | <record><control><sourceid>gale</sourceid><recordid>TN_cdi_gale_infotracmisc_A661690405</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A661690405</galeid><sourcerecordid>A661690405</sourcerecordid><originalsourceid>FETCH-LOGICAL-g955-bbc64d9ccca90d134d1b2d24a3ab0d09101a7178bf58370716312028375505153</originalsourceid><addsrcrecordid>eNqFkM1KAzEUhWehYKl9BQm47jTJTCYzy1LrD1R0MfuSyU97O9MEkozio_o2RnRRUJS7uIfLxznck2VXBOcl5eUCjod8JwZtXcgpJnVOWI35WTahFWnmDW-Ki2wWwgFjTGtW1YxOsvd2r9HaGC0jcga10IEYIKCljdqD86jVVjmLWi9sMNqjpB91FFH4MCZMqVHGJG60cf4I8Q2BRas9DMpri14h7tFqGDvjXFw864DWPVj3IvwYRvQ0iMQ6OfaD8Er8Hw4WfqT3p-k6gE3vxB4CXGbnRgxBz773NGtv1-3qfr55untYLTfzXcPYvOtkVapGSikarEhRKtJRRUtRiA4r3BBMBCe87gyrC445qQpCU30FZwwzwoppdv1l-9n8Fqxx0Qt5hCC3y6oiVYNL_DeVjCkjZc0Tlf9CpVH6CNJZbSDdT2w_AITooBI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi</title><source>DOAJ Directory of Open Access Journals</source><source>Alma/SFX Local Collection</source><creator>Ozyalvac, Osman Nuri ; Kirat, Akay ; Akpinar, Evren ; Dincel, Yasar Mahsut ; Ozkul, Baris ; Bayhan, Avni Ilhan</creator><creatorcontrib>Ozyalvac, Osman Nuri ; Kirat, Akay ; Akpinar, Evren ; Dincel, Yasar Mahsut ; Ozkul, Baris ; Bayhan, Avni Ilhan</creatorcontrib><description>Introduction: Tibialis anterior tendon transfer (TATT) is a common treatment method used in the dynamic supination of the foot due to sequelae or relapse of pes equinovarus (PEV). In this method, the TAT is transferred from its insertion on the medial cuneiform to the lateral cuneiform. Therefore, TATT surgery may have a corrective effect on metatarsus adducus deformity by creating a force vector that pushes the middle of the foot from medial to lateral. However, there is limited literature on the effect of TATT on metatarsus adductus deformity, which is one of the components of clubfoot. The aim of our study was to investigate the effect of TATT on metatarsus adductus deformity. Methods: Sixteen feet of 11 patients who underwent TATT with the diagnosis of PEV between 2007-2015 were included in the study. Pre- and postoperative talus- 1. metatarsal angle, talocalcaneal angle and 4. metatars-metaphyseal angle were measured on standing antero-posterior radiographs. The correction rate of metatarsus adductus deformity was statistically analyzed. Results: After a mean follow-up of 26 [+ or -] 15 months, the mean talus--1st metatarsal angle decreased from 18.8 [+ or -] 1 degrees to 10.9 [+ or -] 6 degrees, the mean talocalcaneal angle from 22.5 degrees [+ or -] 8.6 to 24.4 [+ or -] 9.3 degrees and the mean 4th metatarsalmetaphyseal angle from 38 [+ or -] 14 degrees to 27 [+ or -] 11 degrees after TATT. While there were statistically significant radiological corrections in talus--1st metatarsal angle and 4th metatarsalmetaphyseal angle (p<0.05), there was no statistically significant change in the talocalcaneal angle (p=0.51). Conclusion: TATT provides radiological improvement in the metatarsus adductus deformity in children with PEV. The reason for this is that the Tibialis in PEV works as an invertor rather than dorsiflexor/evertor of the ankle. In conclusion, the need for additional surgery for metatarsus adductus deformities in patients undergoing TATT should be reviewed. Keywords: Clubfoot, metatarsus adductus, pes equinovarus, tibialis anterior tendon transfer Amac: Pes ekinovarus (PEV) sekellerine ve nukslerine bagli ayagin dinamik supinasyonun tedavisinde tibialis anterior tendon transferi (TATT) oldukca sik uygulanan bir tedavi yontemidir. Bu yontemde TAT'nin insersyosu ayak medialinden orta hatta tasinmaktadir. Dolayisi ile tibialis anteior kasinin ayak ortasini medialden laterale dogru iterek metatarsus adduktus deformitesini duzeltici yonde etki gosteren bir kuvvet vektoru olusmaktadir. Ancak TATT'nin PEV'in komponentlerinden biri olan metatarsus adduktus deformitesi uzerine olan etkisi hakkinda yeterli literatur bilgisi bulunmamaktadir. Calismamizin amaci TATT'nin metatarsus adduktus deformitesi uzerine olan etkisini arastirmaktir. Yontemler: Klinigimiz dijital arsivinden faydalanilarak 2007-2015 yillari arasinda PEV tanisi ile TATT yapilan 11 hastanin 16 ayagi calismaya dahil edildi. Hastalarin basarak cekilmis olan ayak anteroposterior grafileri uzerinden operasyon oncesi ve sonrasi talus-1. metatars acisi, talokalkaneal aci ve 4. metatars metafizyel aci olcumler yapilararak metatarsus adduktus deformitesinin duzelme miktari istatiksel olarak degerlendirildi. Bulgular: Ortalama 26 [+ or -] 15 aylik takip sonrasi tendon transferi cerrahisinden sonra talus-1. metatars acisi 18,8 [+ or -] 1 dereceden 10,9 [+ or -] 6 18,8 [+ or -] 1 dereceye, talokalkaneal aci 22,5 [+ or -] 8,6 dereceden 24,4 [+ or -] 9,3 deceye, 4. metatars-metafizial aci ise 38 [+ or -] 14 dereceden 27 [+ or -] 11 dereceye geriledi. Talus-1. metatars acisi ve 4. metatars-metafizial acida istatiktiksel olarak anlamli radyolojik duzeltme gozlemlenirken (p<0,05), talokalkaneal acida istatistiksel olarak anlamli degisiklik gozlenmedi (p=0,51). Sonuc: PEV'li cocuklarda TATT, metatarsus adduktus deformitesinde radyolojik duzelme saglamaktadir. Bunun nedeni, PEV'de TAT'nin ayakta dorsifleksor/evertor olarak degil invertor olarak calismaya baslamasi olarak dusunulebilir. Sonuc olarak TATT uygulanan hastalarda metatarsus adduktus deformitesi icin ek cerrahi uygulamasi gerekliligi yeniden gozden gecirilmelidir. Anahtar Kelimeler: Carpik ayak, metatarsus adduktus, pes ekinovarus, tibialis anterior tendon transferi</description><identifier>ISSN: 2619-9793</identifier><identifier>ISSN: 1304-8503</identifier><identifier>DOI: 10.4274/imj.galenos.2018.15807</identifier><language>eng ; tur</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Clubfoot ; Medical research ; Surgery</subject><ispartof>Istanbul medical journal, 2019-01, Vol.20 (1), p.35</ispartof><rights>COPYRIGHT 2019 Galenos Yayinevi Tic. Ltd.</rights><rights>COPYRIGHT 2019 AVES</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27903,27904</link.rule.ids></links><search><creatorcontrib>Ozyalvac, Osman Nuri</creatorcontrib><creatorcontrib>Kirat, Akay</creatorcontrib><creatorcontrib>Akpinar, Evren</creatorcontrib><creatorcontrib>Dincel, Yasar Mahsut</creatorcontrib><creatorcontrib>Ozkul, Baris</creatorcontrib><creatorcontrib>Bayhan, Avni Ilhan</creatorcontrib><title>The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi</title><title>Istanbul medical journal</title><description>Introduction: Tibialis anterior tendon transfer (TATT) is a common treatment method used in the dynamic supination of the foot due to sequelae or relapse of pes equinovarus (PEV). In this method, the TAT is transferred from its insertion on the medial cuneiform to the lateral cuneiform. Therefore, TATT surgery may have a corrective effect on metatarsus adducus deformity by creating a force vector that pushes the middle of the foot from medial to lateral. However, there is limited literature on the effect of TATT on metatarsus adductus deformity, which is one of the components of clubfoot. The aim of our study was to investigate the effect of TATT on metatarsus adductus deformity. Methods: Sixteen feet of 11 patients who underwent TATT with the diagnosis of PEV between 2007-2015 were included in the study. Pre- and postoperative talus- 1. metatarsal angle, talocalcaneal angle and 4. metatars-metaphyseal angle were measured on standing antero-posterior radiographs. The correction rate of metatarsus adductus deformity was statistically analyzed. Results: After a mean follow-up of 26 [+ or -] 15 months, the mean talus--1st metatarsal angle decreased from 18.8 [+ or -] 1 degrees to 10.9 [+ or -] 6 degrees, the mean talocalcaneal angle from 22.5 degrees [+ or -] 8.6 to 24.4 [+ or -] 9.3 degrees and the mean 4th metatarsalmetaphyseal angle from 38 [+ or -] 14 degrees to 27 [+ or -] 11 degrees after TATT. While there were statistically significant radiological corrections in talus--1st metatarsal angle and 4th metatarsalmetaphyseal angle (p<0.05), there was no statistically significant change in the talocalcaneal angle (p=0.51). Conclusion: TATT provides radiological improvement in the metatarsus adductus deformity in children with PEV. The reason for this is that the Tibialis in PEV works as an invertor rather than dorsiflexor/evertor of the ankle. In conclusion, the need for additional surgery for metatarsus adductus deformities in patients undergoing TATT should be reviewed. Keywords: Clubfoot, metatarsus adductus, pes equinovarus, tibialis anterior tendon transfer Amac: Pes ekinovarus (PEV) sekellerine ve nukslerine bagli ayagin dinamik supinasyonun tedavisinde tibialis anterior tendon transferi (TATT) oldukca sik uygulanan bir tedavi yontemidir. Bu yontemde TAT'nin insersyosu ayak medialinden orta hatta tasinmaktadir. Dolayisi ile tibialis anteior kasinin ayak ortasini medialden laterale dogru iterek metatarsus adduktus deformitesini duzeltici yonde etki gosteren bir kuvvet vektoru olusmaktadir. Ancak TATT'nin PEV'in komponentlerinden biri olan metatarsus adduktus deformitesi uzerine olan etkisi hakkinda yeterli literatur bilgisi bulunmamaktadir. Calismamizin amaci TATT'nin metatarsus adduktus deformitesi uzerine olan etkisini arastirmaktir. Yontemler: Klinigimiz dijital arsivinden faydalanilarak 2007-2015 yillari arasinda PEV tanisi ile TATT yapilan 11 hastanin 16 ayagi calismaya dahil edildi. Hastalarin basarak cekilmis olan ayak anteroposterior grafileri uzerinden operasyon oncesi ve sonrasi talus-1. metatars acisi, talokalkaneal aci ve 4. metatars metafizyel aci olcumler yapilararak metatarsus adduktus deformitesinin duzelme miktari istatiksel olarak degerlendirildi. Bulgular: Ortalama 26 [+ or -] 15 aylik takip sonrasi tendon transferi cerrahisinden sonra talus-1. metatars acisi 18,8 [+ or -] 1 dereceden 10,9 [+ or -] 6 18,8 [+ or -] 1 dereceye, talokalkaneal aci 22,5 [+ or -] 8,6 dereceden 24,4 [+ or -] 9,3 deceye, 4. metatars-metafizial aci ise 38 [+ or -] 14 dereceden 27 [+ or -] 11 dereceye geriledi. Talus-1. metatars acisi ve 4. metatars-metafizial acida istatiktiksel olarak anlamli radyolojik duzeltme gozlemlenirken (p<0,05), talokalkaneal acida istatistiksel olarak anlamli degisiklik gozlenmedi (p=0,51). Sonuc: PEV'li cocuklarda TATT, metatarsus adduktus deformitesinde radyolojik duzelme saglamaktadir. Bunun nedeni, PEV'de TAT'nin ayakta dorsifleksor/evertor olarak degil invertor olarak calismaya baslamasi olarak dusunulebilir. Sonuc olarak TATT uygulanan hastalarda metatarsus adduktus deformitesi icin ek cerrahi uygulamasi gerekliligi yeniden gozden gecirilmelidir. Anahtar Kelimeler: Carpik ayak, metatarsus adduktus, pes ekinovarus, tibialis anterior tendon transferi</description><subject>Clubfoot</subject><subject>Medical research</subject><subject>Surgery</subject><issn>2619-9793</issn><issn>1304-8503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqFkM1KAzEUhWehYKl9BQm47jTJTCYzy1LrD1R0MfuSyU97O9MEkozio_o2RnRRUJS7uIfLxznck2VXBOcl5eUCjod8JwZtXcgpJnVOWI35WTahFWnmDW-Ki2wWwgFjTGtW1YxOsvd2r9HaGC0jcga10IEYIKCljdqD86jVVjmLWi9sMNqjpB91FFH4MCZMqVHGJG60cf4I8Q2BRas9DMpri14h7tFqGDvjXFw864DWPVj3IvwYRvQ0iMQ6OfaD8Er8Hw4WfqT3p-k6gE3vxB4CXGbnRgxBz773NGtv1-3qfr55untYLTfzXcPYvOtkVapGSikarEhRKtJRRUtRiA4r3BBMBCe87gyrC445qQpCU30FZwwzwoppdv1l-9n8Fqxx0Qt5hCC3y6oiVYNL_DeVjCkjZc0Tlf9CpVH6CNJZbSDdT2w_AITooBI</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Ozyalvac, Osman Nuri</creator><creator>Kirat, Akay</creator><creator>Akpinar, Evren</creator><creator>Dincel, Yasar Mahsut</creator><creator>Ozkul, Baris</creator><creator>Bayhan, Avni Ilhan</creator><general>Galenos Yayinevi Tic. Ltd</general><general>AVES</general><scope/></search><sort><creationdate>20190101</creationdate><title>The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi</title><author>Ozyalvac, Osman Nuri ; Kirat, Akay ; Akpinar, Evren ; Dincel, Yasar Mahsut ; Ozkul, Baris ; Bayhan, Avni Ilhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g955-bbc64d9ccca90d134d1b2d24a3ab0d09101a7178bf58370716312028375505153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; tur</language><creationdate>2019</creationdate><topic>Clubfoot</topic><topic>Medical research</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozyalvac, Osman Nuri</creatorcontrib><creatorcontrib>Kirat, Akay</creatorcontrib><creatorcontrib>Akpinar, Evren</creatorcontrib><creatorcontrib>Dincel, Yasar Mahsut</creatorcontrib><creatorcontrib>Ozkul, Baris</creatorcontrib><creatorcontrib>Bayhan, Avni Ilhan</creatorcontrib><jtitle>Istanbul medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozyalvac, Osman Nuri</au><au>Kirat, Akay</au><au>Akpinar, Evren</au><au>Dincel, Yasar Mahsut</au><au>Ozkul, Baris</au><au>Bayhan, Avni Ilhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi</atitle><jtitle>Istanbul medical journal</jtitle><date>2019-01-01</date><risdate>2019</risdate><volume>20</volume><issue>1</issue><spage>35</spage><pages>35-</pages><issn>2619-9793</issn><issn>1304-8503</issn><abstract>Introduction: Tibialis anterior tendon transfer (TATT) is a common treatment method used in the dynamic supination of the foot due to sequelae or relapse of pes equinovarus (PEV). In this method, the TAT is transferred from its insertion on the medial cuneiform to the lateral cuneiform. Therefore, TATT surgery may have a corrective effect on metatarsus adducus deformity by creating a force vector that pushes the middle of the foot from medial to lateral. However, there is limited literature on the effect of TATT on metatarsus adductus deformity, which is one of the components of clubfoot. The aim of our study was to investigate the effect of TATT on metatarsus adductus deformity. Methods: Sixteen feet of 11 patients who underwent TATT with the diagnosis of PEV between 2007-2015 were included in the study. Pre- and postoperative talus- 1. metatarsal angle, talocalcaneal angle and 4. metatars-metaphyseal angle were measured on standing antero-posterior radiographs. The correction rate of metatarsus adductus deformity was statistically analyzed. Results: After a mean follow-up of 26 [+ or -] 15 months, the mean talus--1st metatarsal angle decreased from 18.8 [+ or -] 1 degrees to 10.9 [+ or -] 6 degrees, the mean talocalcaneal angle from 22.5 degrees [+ or -] 8.6 to 24.4 [+ or -] 9.3 degrees and the mean 4th metatarsalmetaphyseal angle from 38 [+ or -] 14 degrees to 27 [+ or -] 11 degrees after TATT. While there were statistically significant radiological corrections in talus--1st metatarsal angle and 4th metatarsalmetaphyseal angle (p<0.05), there was no statistically significant change in the talocalcaneal angle (p=0.51). Conclusion: TATT provides radiological improvement in the metatarsus adductus deformity in children with PEV. The reason for this is that the Tibialis in PEV works as an invertor rather than dorsiflexor/evertor of the ankle. In conclusion, the need for additional surgery for metatarsus adductus deformities in patients undergoing TATT should be reviewed. Keywords: Clubfoot, metatarsus adductus, pes equinovarus, tibialis anterior tendon transfer Amac: Pes ekinovarus (PEV) sekellerine ve nukslerine bagli ayagin dinamik supinasyonun tedavisinde tibialis anterior tendon transferi (TATT) oldukca sik uygulanan bir tedavi yontemidir. Bu yontemde TAT'nin insersyosu ayak medialinden orta hatta tasinmaktadir. Dolayisi ile tibialis anteior kasinin ayak ortasini medialden laterale dogru iterek metatarsus adduktus deformitesini duzeltici yonde etki gosteren bir kuvvet vektoru olusmaktadir. Ancak TATT'nin PEV'in komponentlerinden biri olan metatarsus adduktus deformitesi uzerine olan etkisi hakkinda yeterli literatur bilgisi bulunmamaktadir. Calismamizin amaci TATT'nin metatarsus adduktus deformitesi uzerine olan etkisini arastirmaktir. Yontemler: Klinigimiz dijital arsivinden faydalanilarak 2007-2015 yillari arasinda PEV tanisi ile TATT yapilan 11 hastanin 16 ayagi calismaya dahil edildi. Hastalarin basarak cekilmis olan ayak anteroposterior grafileri uzerinden operasyon oncesi ve sonrasi talus-1. metatars acisi, talokalkaneal aci ve 4. metatars metafizyel aci olcumler yapilararak metatarsus adduktus deformitesinin duzelme miktari istatiksel olarak degerlendirildi. Bulgular: Ortalama 26 [+ or -] 15 aylik takip sonrasi tendon transferi cerrahisinden sonra talus-1. metatars acisi 18,8 [+ or -] 1 dereceden 10,9 [+ or -] 6 18,8 [+ or -] 1 dereceye, talokalkaneal aci 22,5 [+ or -] 8,6 dereceden 24,4 [+ or -] 9,3 deceye, 4. metatars-metafizial aci ise 38 [+ or -] 14 dereceden 27 [+ or -] 11 dereceye geriledi. Talus-1. metatars acisi ve 4. metatars-metafizial acida istatiktiksel olarak anlamli radyolojik duzeltme gozlemlenirken (p<0,05), talokalkaneal acida istatistiksel olarak anlamli degisiklik gozlenmedi (p=0,51). Sonuc: PEV'li cocuklarda TATT, metatarsus adduktus deformitesinde radyolojik duzelme saglamaktadir. Bunun nedeni, PEV'de TAT'nin ayakta dorsifleksor/evertor olarak degil invertor olarak calismaya baslamasi olarak dusunulebilir. Sonuc olarak TATT uygulanan hastalarda metatarsus adduktus deformitesi icin ek cerrahi uygulamasi gerekliligi yeniden gozden gecirilmelidir. Anahtar Kelimeler: Carpik ayak, metatarsus adduktus, pes ekinovarus, tibialis anterior tendon transferi</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/imj.galenos.2018.15807</doi></addata></record> |
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| ispartof | Istanbul medical journal, 2019-01, Vol.20 (1), p.35 |
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| subjects | Clubfoot Medical research Surgery |
| title | The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot/Pes Ekinovarusu Olan Cocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi |
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