Posterior tibial tendon transfer in the spastic brain-damaged adult does not lead to valgus flatfoot

Abstract Background We studied the possible development of valgus flat foot after transfer of the posterior tibial tendon to the lateral cuneiform, used for surgical restoration of dorsiflexion in brain-damaged adult patients with spastic equinovarus foot. Methods Twenty hemiplegic patients were rev...

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Veröffentlicht in:Foot and ankle surgery 2013-09, Vol.19 (3), p.182-187
Hauptverfasser: Gasq, D., MD, Molinier, F., MD, Reina, N, Dupui, P., PhD, Chiron, P., PhD, Marque, P., PhD
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container_end_page 187
container_issue 3
container_start_page 182
container_title Foot and ankle surgery
container_volume 19
creator Gasq, D., MD
Molinier, F., MD
Reina, N
Dupui, P., PhD
Chiron, P., PhD
Marque, P., PhD
description Abstract Background We studied the possible development of valgus flat foot after transfer of the posterior tibial tendon to the lateral cuneiform, used for surgical restoration of dorsiflexion in brain-damaged adult patients with spastic equinovarus foot. Methods Twenty hemiplegic patients were reviewed with a mean postoperative follow-up of 57.9 months. Weightbearing radiographs, static baropodometry analysis and functional evaluation were used to assess postoperatively outcomes. Results On the operated side, weightbearing radiographs showed an absence of medial arch collapse and a symmetrical and physiological hindfoot valgus; static baropodometric analysis showed a reduced plantar contact surface with a pes cavus appearance. The surgical procedure yielded good functional results. Nineteen patients were satisfied with the outcome of their surgery. Conclusions Our findings support that transfer of the posterior tibial tendon does not lead to valgus flat foot in the spastic brain-damaged adult, and is still a current surgical alternative for management of spastic equinovarus foot.
doi_str_mv 10.1016/j.fas.2013.04.001
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Methods Twenty hemiplegic patients were reviewed with a mean postoperative follow-up of 57.9 months. Weightbearing radiographs, static baropodometry analysis and functional evaluation were used to assess postoperatively outcomes. Results On the operated side, weightbearing radiographs showed an absence of medial arch collapse and a symmetrical and physiological hindfoot valgus; static baropodometric analysis showed a reduced plantar contact surface with a pes cavus appearance. The surgical procedure yielded good functional results. Nineteen patients were satisfied with the outcome of their surgery. Conclusions Our findings support that transfer of the posterior tibial tendon does not lead to valgus flat foot in the spastic brain-damaged adult, and is still a current surgical alternative for management of spastic equinovarus foot.</description><identifier>ISSN: 1268-7731</identifier><identifier>EISSN: 1460-9584</identifier><identifier>DOI: 10.1016/j.fas.2013.04.001</identifier><identifier>PMID: 23830167</identifier><language>eng</language><publisher>France: Elsevier Ltd</publisher><subject>Adult ; Aged ; Clubfoot - complications ; Clubfoot - physiopathology ; Clubfoot - surgery ; Equinovarus ; Female ; Flatfoot - etiology ; Flatfoot - prevention &amp; control ; Follow-Up Studies ; Hemiplegia ; Hemiplegia - complications ; Human health and pathology ; Humans ; Life Sciences ; Male ; Middle Aged ; Orthopedics ; Posterior tibial tendon transfer ; Prognosis ; Retrospective Studies ; Tendon Transfer - methods ; Tendons - surgery ; Tibia ; Time Factors ; Treatment Outcome ; Weight-Bearing ; Young Adult</subject><ispartof>Foot and ankle surgery, 2013-09, Vol.19 (3), p.182-187</ispartof><rights>European Foot and Ankle Society</rights><rights>2013 European Foot and Ankle Society</rights><rights>Copyright © 2013 European Foot and Ankle Society. Published by Elsevier Ltd. 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ispartof Foot and ankle surgery, 2013-09, Vol.19 (3), p.182-187
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Aged
Clubfoot - complications
Clubfoot - physiopathology
Clubfoot - surgery
Equinovarus
Female
Flatfoot - etiology
Flatfoot - prevention & control
Follow-Up Studies
Hemiplegia
Hemiplegia - complications
Human health and pathology
Humans
Life Sciences
Male
Middle Aged
Orthopedics
Posterior tibial tendon transfer
Prognosis
Retrospective Studies
Tendon Transfer - methods
Tendons - surgery
Tibia
Time Factors
Treatment Outcome
Weight-Bearing
Young Adult
title Posterior tibial tendon transfer in the spastic brain-damaged adult does not lead to valgus flatfoot
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