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The cincinnati incision for the split posterior tibial tendon transfer: a technical note.

D R Townsend1, L Wells, D Lowenberg

  • 1Division of Orthopedic Surgery, Children's Hospital, Oakland, CA 94609.

Journal of Pediatric Orthopedics
|September 1, 1990
PubMed
Summary

The modified Cincinnati incision for split posterior tendon transfer effectively corrects equinovarus in cerebral palsy patients. This single incision offers improved surgical access without significant drawbacks compared to the traditional four-incision method.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Cerebral palsy management

Background:

  • Equinovarus deformity is common in children with cerebral palsy.
  • The split posterior tendon transfer is a recognized surgical correction.
  • The traditional technique involves a four-incision approach.

Purpose of the Study:

  • To present a modified surgical technique for split posterior tendon transfer.
  • To evaluate the efficacy of a single Cincinnati incision approach.
  • To compare the modified technique with the traditional four-incision method.

Main Methods:

  • A modified split posterior tendon transfer procedure was performed.
  • A single transverse Cincinnati incision was utilized.
  • Surgical access and operative field visualization were assessed.

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Main Results:

  • The Cincinnati incision provided enhanced visual and physical access to the operative field.
  • The modified technique demonstrated effectiveness in correcting equinovarus deformity.
  • No major disadvantages were identified with the single incision approach.

Conclusions:

  • The single Cincinnati incision is a safe and effective modification for split posterior tendon transfer in children with cerebral palsy.
  • This approach offers advantages in surgical access and visualization.
  • It represents a viable alternative to the traditional multi-incision technique.