Document Detail

SPLATT combined with tendo achilles lengthening for spastic equinovarus in adults: results and predictors of surgical outcome.
MedLine Citation:
PMID:  8406249     Owner:  NLM     Status:  MEDLINE    
During a 4-year period, split anterior tibial tendon transfer (SPLATT) was performed on 42 adults with cerebrospastic equinovarus deformity. Twenty-one patients (24 feet) had a minimum 1-year follow-up, which included detailed documentation of foot appearance position and function as well as ambulatory status. Thirteen patients were male and 8 were female. Average age of the patients was 41 years. Seventeen patients were independent ambulators with orthoses, one was a maximally assisted ambulator. Three patients with spastic quadriparesis were nonambulatory. All patients had uniform surgical technique and postoperative management. This paper presents the results of SPLATT and identifies risk factors for poor surgical outcomes. After an average follow-up of 39 months, 83% of the feet were rated as having good or excellent results. All ambulatory patients had improved gait and 35% of them were able to discontinue their orthoses. Poor surgical outcomes were associated with nonambulatory status in brain injured patients (P = .018). Salvage of failed SPLATT is discussed.
P Edwards; J Hsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle     Volume:  14     ISSN:  0198-0211     ISO Abbreviation:  Foot Ankle     Publication Date:    1993 Jul-Aug
Date Detail:
Created Date:  1993-11-04     Completed Date:  1993-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8010104     Medline TA:  Foot Ankle     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  335-8     Citation Subset:  IM    
West Virginia University, Morgantown 26506-9196.
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MeSH Terms
Achilles Tendon / surgery
Clubfoot / etiology,  surgery*
Foot Deformities, Acquired / etiology,  surgery*
Middle Aged
Muscle Spasticity / complications
Tendon Transfer*
Treatment Outcome

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