title: Pedobarographic changes in Ponseti-treated clubfeet with and without anterior tibialis tendon transfer: changes due to growth and surgical intervention.
abstract: The aim of this study was to identify significant changes in pedobarographic parameters attributed to growth versus growth and surgical intervention for uninvolved feet, clubfeet (CF) subjected to anterior tibialis tendon transfer surgery, and unilateral nonsurgical CF. Participants underwent foot-pressure analysis preoperatively and 3 years postoperatively. Six parameters related to the lateral midfoot showed increases for uninvolved and nonsurgical CF, whereas CF subjected to surgery decreased. Transferring the anterior tibialis tendon resulted in improvements beyond typical growth and in a more balanced foot postoperatively. These changes are not simply changes in the peak pressure, but changes in force/pressure over time in the lateral foot.
authors.affiliation: aShriners Hospital for Children Departments of bStatistics cStatistics and Biostatistics dOrthopaedic Surgery, University of Kentucky, Lexington, Kentucky, USA.
authors.forename: Juanita
authors.initials: J
authors.lastname: Wallace
authors.forename: Hank
authors.initials: H
authors.lastname: White
authors.forename: Jing
authors.initials: J
authors.lastname: Xi
authors.forename: Richard
authors.initials: R
authors.lastname: Kryscio
authors.forename: Sam
authors.initials: S
authors.lastname: Augsburger
authors.forename: Todd
authors.initials: T
authors.lastname: Milbrandt
authors.forename: Vishwas
authors.initials: V
authors.lastname: Talwalkar
authors.forename: Henry
authors.initials: H
authors.lastname: Iwinski
authors.forename: Janet
authors.initials: J
authors.lastname: Walker
mesh_terms: D016022:Case-Control Studies; D002370:Casts, Surgical; D002675:Child, Preschool; D003025:Clubfoot / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000254:growth & development*; D006801:Humans; D007223:Infant; D016014:Linear Models; D008297:Male; D008349:Manipulation, Orthopedic; D011312:Pressure; D012189:Retrospective Studies; D013709:Tendon Transfer