Posterior tibial tendon transfer in spastic equinovarus.
Twenty-eight posterior tibial tendon transfers through the interosseous membrane were performed to correct spastic equinovarus. All patients improved their gait, and 82% discarded their brace. Foot striking at the beginning of the stance phase was good or satisfactory in 82%; 68% had a neutral position of the heel. The overall score was good in 68%, satisfactory in 21%, and poor in 11%. The main requirements for obtaining good results with this type of transfer are: no fixed varus deformity preoperatively, age at operation between 5 and 10 years, and reinsertion near the midline of the foot.
Lagast
J
J
Department of Orthopedic Surgery, University Hospital, K.U. Leuven, Belgium.
Mylle
J
J
Fabry
G
G
D002648:Child; D003025:Clubfoot / Q000150:complications / Q000601:surgery*; D005684:Gait; D006801:Humans; D009128:Muscle Spasticity / Q000150:complications*; D011183:Postoperative Complications; D013709:Tendon Transfer / Q000379:methods*