Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior.

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Version: Final published version
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Serval ID
serval:BIB_A88ACEBB517C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior.
Journal
Journal of Bone and Joint Surgery. British Volume
Author(s)
Carda S., Molteni F., Bertoni M., Zerbinati P., Invernizzi M., Cisari C.
ISSN
0301-620X (Print)
ISSN-L
0301-620X
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
92
Number
9
Pages
1262-1266
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
This study assessed if transfer of the extensor hallucis longus is a valid alternative treatment to split transfer of the tibialis anterior tendon in adult hemiplegic patients without overactivity of the tibialis anterior. One group of 15 patients had overactivity of tibialis anterior in the swing phase, and underwent the split transfer. A further group of 14 patients had no overactivity of tibialis anterior, and underwent transfer of extensor hallucis longus. All patients had lengthening of the tendo Achillis and tenotomies of the toe flexors. All were evaluated clinically and by three-dimensional gait analysis pre- and at one year after surgery. At this time both groups showed significant reduction of disability in walking. Gait speed, stride length and paretic propulsion had improved significantly in both groups. Dorsiflexion in the swing phase, the step length of the healthy limb and the step width improved in both groups, but only reached statistical significance in the patients with transfer of the extensor hallucis longus. There were no differences between the groups at one year after operation. When combined with lengthening of the tendo Achillis, transfer of the extensor hallucis longus can be a valid alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot deformity in patients without overactivity of tibialis anterior.
Keywords
Adult, Aged, Clubfoot/surgery, Disability Evaluation, Foot Deformities, Acquired/surgery, Hemiplegia/complications, Humans, Metatarsal Bones/surgery, Middle Aged, Retrospective Studies, Stroke/complications, Tendon Transfer/methods, Walking, Young Adult
Pubmed
Open Access
Yes
Create date
25/03/2013 18:19
Last modification date
15/07/2020 6:26
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