Tibialis Anterior Tendon Transfer for Residual Dynamic Supination Deformity in Treated Club Feet

Twenty-seven previously treated club feet in 25 patients were evaluated retrospectively following tibialis anterior tendon transfer to the dorsum of the foot to correct residual dynamic supination deformity. In 11 feet, the transfer was combined with additional soft tissue and or bony procedures to...

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Bibliographic Details
Published in:	Journal of pediatric orthopaedics. B Vol. 9; no. 3; pp. 207 - 211
Main Authors:	Ezra, Eli, Hayek, Shlomo, Gilai, Arie N, Khermosh, Oved, Wientroub, Shlomo
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins, Inc 01-06-2000
Subjects:	Child Child, Preschool Clubfoot - physiopathology Clubfoot - surgery Electrophysiology Female Humans Male Neural Conduction Orthopedic Procedures - methods Postoperative Complications Reoperation Retrospective Studies Supination - physiology Tendons - transplantation
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Summary:	Twenty-seven previously treated club feet in 25 patients were evaluated retrospectively following tibialis anterior tendon transfer to the dorsum of the foot to correct residual dynamic supination deformity. In 11 feet, the transfer was combined with additional soft tissue and or bony procedures to treat other accompanying deformities. Electrophysiologically demonstrated peroneal weakness causing muscle imbalance contributed to the etiology of this dynamic deformity. At follow-up, none of the patients had dynamic supination deformity during ambulation. All showed active contraction of the transferred tibialis anterior tendon. There was no case of overcorrection. Functional and cosmetic results were assessed by parents and surgeons as being excellent. Tibialis anterior tendon transfer is recommended to correct residual dynamic supination deformity and to restore muscle balance after satisfactory correction of idiopathic club foot contractures.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1060-152X 1473-5865
DOI:	10.1097/01202412-200006000-00012