Document Detail


Oerative treatment of the plantar-flexed inverted foot in adult hemiplegia.
MedLine Citation:
PMID:  1002758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From a population of 902 adult patients with acquired hemiplegia, thirty-two patients with extensor synergy were chosen for a reconstructive procedure designed to eliminate the need for an orthosis. Three additional patients underwent the procedure to eliminate severe spasticity which precluded orthotic fitting. The operative technique, first described by Mooney and associates, involved lengthening of the tendo achillis and tibialis posterior tendon, multiple toe-flexor tenotomies, and a split transfer of the tibialis anterior tendon. Satisfactory results were recorded for thirty-two patients. The three failures were ascribed to inappropriate selection of patients for surgery.
Authors:
H W Tracy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  58     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1976 Dec 
Date Detail:
Created Date:  1977-02-16     Completed Date:  1977-02-16     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1142-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Achilles Tendon / surgery
Adolescent
Adult
Casts, Surgical
Female
Follow-Up Studies
Foot / surgery
Foot Deformities, Acquired / surgery*
Hemiplegia / complications*
Humans
Male
Middle Aged
Muscle Spasticity / complications*
Orthopedic Fixation Devices
Tendon Transfer
Tendons / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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