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.

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_A88ACEBB517C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
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.
Périodique
Journal of Bone and Joint Surgery. British Volume
Auteur(s)
Carda S., Molteni F., Bertoni M., Zerbinati P., Invernizzi M., Cisari C.
ISSN
0301-620X (Print)
ISSN-L
0301-620X
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
92
Numéro
9
Pages
1262-1266
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
25/03/2013 18:19
Dernière modification de la notice
15/07/2020 6:26
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