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Split posterior tibial tendon transfer for spastic equinovarus foot deformity
P A Medina1, R R Karpman, A T Yeung
1Maricopa Medical Center, Phoenix, Arizona 85008.
Foot & Ankle
|October 1, 1989
Summary
A simplified split posterior tibial tendon transfer effectively treats spastic equinovarus foot deformity in children. This modified technique offers favorable results with less dissection, simplifying the surgical procedure.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Reconstructive surgery
Background:
- Spastic equinovarus foot deformity presents a significant challenge in pediatric orthopedics.
- Traditional surgical techniques for correction can be complex and invasive.
Purpose of the Study:
- To describe and evaluate a simplified technique for split posterior tibial tendon transfer.
- To assess the efficacy and outcomes of this modified surgical approach in children.
Main Methods:
- A retrospective review of 13 children treated for spastic equinovarus deformity.
- Modification involved a more proximal attachment of the split posterior tibial tendon to the peroneus brevis in 10 patients.
- Follow-up averaged 21 months.
Main Results:
- Eleven out of 13 patients achieved good or excellent outcomes.
- Two patients had fair results, with no poor outcomes or complications reported.
- The modified technique demonstrated favorable results and effectiveness in correcting the deformity.
Conclusions:
- The simplified split posterior tibial tendon transfer is an effective procedure for spastic equinovarus.
- The proximal attachment modification simplifies the surgery by reducing dissection while maintaining positive outcomes.
- This technique offers a viable, less invasive option for pediatric foot deformity correction.