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 |
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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 & 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. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-ec77253d7d42f8da88512a32b9b0426b5aa988108702fd0c253f87ab290967873</citedby><cites>FETCH-LOGICAL-c488t-ec77253d7d42f8da88512a32b9b0426b5aa988108702fd0c253f87ab290967873</cites><orcidid>0000-0002-1339-370X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S126877311300043X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23830167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-03223417$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Gasq, D., MD</creatorcontrib><creatorcontrib>Molinier, F., MD</creatorcontrib><creatorcontrib>Reina, N</creatorcontrib><creatorcontrib>Dupui, P., PhD</creatorcontrib><creatorcontrib>Chiron, P., PhD</creatorcontrib><creatorcontrib>Marque, P., PhD</creatorcontrib><title>Posterior tibial tendon transfer in the spastic brain-damaged adult does not lead to valgus flatfoot</title><title>Foot and ankle surgery</title><addtitle>Foot Ankle Surg</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Clubfoot - complications</subject><subject>Clubfoot - physiopathology</subject><subject>Clubfoot - surgery</subject><subject>Equinovarus</subject><subject>Female</subject><subject>Flatfoot - etiology</subject><subject>Flatfoot - prevention & control</subject><subject>Follow-Up Studies</subject><subject>Hemiplegia</subject><subject>Hemiplegia - complications</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Posterior tibial tendon transfer</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Tendon Transfer - methods</subject><subject>Tendons - surgery</subject><subject>Tibia</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Weight-Bearing</subject><subject>Young Adult</subject><issn>1268-7731</issn><issn>1460-9584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkGLFDEQhRtR3HX1B3iRHD3YYyXp6aQRhGVRVxhQUMFbqE6qdzNmOmOSHth_b4ZZ9-DBU9Xhe-_w3mualxxWHHj_druaMK8EcLmCbgXAHzXnvOuhHda6e1x_0etWKcnPmmc5bwFADSCfNmdCalkN1HnjvsZcKPmYWPGjx8AKzS7OrCSc80SJ-frfEst7zMVbNib0c-twhzfkGLolFOYiZTbHwgKhYyWyA4abJbMpYJliLM-bJxOGTC_u70Xz4-OH71fX7ebLp89Xl5vWdlqXlqxSYi2dcp2YtEOt11ygFOMwQif6cY04aM1BKxCTA1vZSSscxQBDr7SSF82bk-8tBrNPfofpzkT05vpyY_ycKe0MSCFkx9WBV_z1Cd-n-HuhXMzOZ0sh4ExxyYbLYYC16rWuKD-hNsWcE00P9hzMsQuzNbULc-zCQGdqF1Xz6t5-GXfkHhR_w6_AuxNANZODp2Sy9TRbcj6RLcZF_1_79_-obfCztxh-0R3lbVzSXMM23GRhwHw7juG4BS7rDjr5U_4BDwCtuw</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Gasq, D., MD</creator><creator>Molinier, F., MD</creator><creator>Reina, N</creator><creator>Dupui, P., PhD</creator><creator>Chiron, P., PhD</creator><creator>Marque, P., PhD</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-1339-370X</orcidid></search><sort><creationdate>20130901</creationdate><title>Posterior tibial tendon transfer in the spastic brain-damaged adult does not lead to valgus flatfoot</title><author>Gasq, D., MD ; Molinier, F., MD ; Reina, N ; Dupui, P., PhD ; Chiron, P., PhD ; Marque, P., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-ec77253d7d42f8da88512a32b9b0426b5aa988108702fd0c253f87ab290967873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clubfoot - complications</topic><topic>Clubfoot - physiopathology</topic><topic>Clubfoot - surgery</topic><topic>Equinovarus</topic><topic>Female</topic><topic>Flatfoot - etiology</topic><topic>Flatfoot - prevention & control</topic><topic>Follow-Up Studies</topic><topic>Hemiplegia</topic><topic>Hemiplegia - complications</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Posterior tibial tendon transfer</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Tendon Transfer - methods</topic><topic>Tendons - surgery</topic><topic>Tibia</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Weight-Bearing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gasq, D., MD</creatorcontrib><creatorcontrib>Molinier, F., MD</creatorcontrib><creatorcontrib>Reina, N</creatorcontrib><creatorcontrib>Dupui, P., PhD</creatorcontrib><creatorcontrib>Chiron, P., PhD</creatorcontrib><creatorcontrib>Marque, P., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gasq, D., MD</au><au>Molinier, F., MD</au><au>Reina, N</au><au>Dupui, P., PhD</au><au>Chiron, P., PhD</au><au>Marque, P., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior tibial tendon transfer in the spastic brain-damaged adult does not lead to valgus flatfoot</atitle><jtitle>Foot and ankle surgery</jtitle><addtitle>Foot Ankle Surg</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>19</volume><issue>3</issue><spage>182</spage><epage>187</epage><pages>182-187</pages><issn>1268-7731</issn><eissn>1460-9584</eissn><abstract>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.</abstract><cop>France</cop><pub>Elsevier Ltd</pub><pmid>23830167</pmid><doi>10.1016/j.fas.2013.04.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1339-370X</orcidid><oa>free_for_read</oa></addata></record> |
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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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