| Deformity of the foot following anterior transfer of the posterior tibial tendon and lengthening of the Achilles tendon for spastic equinovarus. | |
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MedLine Citation:
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PMID: 880751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-four children with spastic equinovarus deformity due to cerebral palsy were treated by anterior transfer of the posterior tibial tendon and Achilles tendon lengthening. In five patients, the operation was performed on both sides, making a total of 29 feet available for evaluation after an average follow-up of five years. Only 38 per cent of the results were graded "good" or "satisfactory." Sixty-two per cent were rated as "poor" because of valgus, calcaneus or equinus deformity severe enough to require re-operation. The post-operative deformity was generally evident one or more years after surgery, often progressive, and more disabling as well as more difficult to correct than the original condition. Although the percentage of acceptable results was considerably higher for hemiplegic patients than for others in the study, we conclude that in this group and in all other categories of spastic patients anterior transfer of the posterior tibial tendon should not be performed. |
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Authors:
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M Schneider; K Balon |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: - ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 1977 Jun |
Date Detail:
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Created Date: 1977-09-17 Completed Date: 1977-09-17 Revised Date: 2005-03-03 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 113-8 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon
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surgery Adolescent Cerebral Palsy / therapy* Child Child, Preschool Female Foot Deformities, Congenital Gait Humans Male Tendon Transfer / adverse effects* Tibia |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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