Role of a tendon transfer as a dynamic checkrein reducing recurrence of equinus following distal tibial dorsiflexion osteotomy.
case_series · Level IV
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- Record sourced from PubMed, PMID 28914665.
- Also identified by DOI 10.1097/BPB.0000000000000500.
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Abstract
Tibial dorsiflexion osteotomy for recalcitrant equinus in clubfeet is reported to have a high recurrence rate with growth. We present the results of closing wedge tibial dorsiflexion osteotomy and tendon transfers in 15 feet and 11 patients. The mean age at presentation was 7 (range: 3.98-12.38) years. At a mean follow-up of 4.16 (range: 2.09-6.87) years, 11 of the 15 feet remained corrected. Mean correction of the dorsiflexion was 24.5° and mean correction of anterior distal tibial angle was 10.9° at final review. Muscle rebalancing appears to influence bone remodeling and reduce recurrence of equinus.
Medical subject headings
- Clubfoot
- Equinus Deformity
- Osteotomy
- Tendon Transfer
- Tendons
- Tibia
Anatomy
- tibia
- foot