Restoration of muscle balance of the foot by transfer of the tibialis posterior.
A new technique of tibialis posterior transfer is described which has been used in a wide variety of conditions producing muscular imbalance in the foot. The results in eighty-five feet are reviewed in terms of range of motion, power and voluntary control of the transfer. The effect of the transfer on shoe wear, on the necessity for bracing and on the child's or his parents' assessment of the results are used to allocate an overall evaluation of the operation. Recommendations on the indications for the operation are given.
D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery; D005531:Foot Deformities, Acquired / Q000601:surgery*; D005684:Gait; D006801:Humans; D009133:Muscular Atrophy / Q000601:surgery; D009136:Muscular Dystrophies / Q000601:surgery; D009468:Neuromuscular Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D016135:Spinal Dysraphism / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000601:surgery