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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   NOVEMBER 2013 , Volume 16 , Number 11; Page(s) 647 To 651.
 
Paper: 

EXTRAMEMBRANOUS TRANSFER OF THE TIBIALIS POSTERIOR TENDON FOR THE TREATMENT OF DROP FOOT DEFORMITY IN CHILDREN

 
DOI: 

0131611/AIM.007

 
Author(s):  AYDIN ALI*, TOPAL MURAT, TUNCER KUTSI, CANBEK UMUT, YILDIZ VAHIT, KOSE MEHMET
 
* DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY, MEDICAL SCHOOL HOSPITAL, ATATURK UNIVERSITY, 25240 ERZURUM, TURKEY
 
Abstract: 

BACKGROUND: To study the efficacy of extramembranous transfer of the tibialis posterior (posterior tibial) tendon for the treatment of drop foot deformity in children.
MATHERIALS AND METHODS: This study included 24 patients (11 girls and 13 boys) with drop foot deformity, who underwent tibialis posterior tendon transfer. The mean age was 12.33 years (range: seven to18 years), and the mean follow-up period was 32.54 months (range: 24–55 months). Drop foot developed due to different levels of nerve injury associated with trauma or surgical operation in 18 (75%) patients, and due to meningomyelocele in six (25%) patients. Tibialis posterior tendon was flipped from the anteromedial aspect of the tibia and transferred to the lateral cuneiform bone. The patients were evaluated via the Stanmore system questionnaire.
RESULTS: Evaluating the outcomes by the Stanmore system, poor results in two feet (8.3%), fair in two feet (8.3%), good in eight feet (33.3%), and excellent in 12 (50%) feet were obtained. All patients were satisfied with the postoperative outcomes. The mean active ankle dorsiflexion was 8.96 degrees (range: zero to 20 degrees).
CONCLUSIONS: Extramembranous transfer of the tibialis posterior tendon is a quite successful method in retrieving active dorsiflexion of the foot in patients with drop foot deformity. It is a method which eliminates the need for orthosis and enhances the quality of life of patients.

 
Keyword(s): FOOT DROP, TRANSFER OF THE POSTERIOR TIBIAL TENDON, TIBIALIS POSTERIOR TENDON
 
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