The uses of tendon transfers to correct paralytic deformity of the foot and ankle

2004 ◽  
Vol 9 (2) ◽  
pp. 319-337 ◽  
Author(s):  
Clifford Jeng ◽  
Mark Myerson
Keyword(s):  
Foot And Ankle ◽  
Tendon Transfers ◽  
Paralytic Deformity

Foot and Ankle Manifestations of Charcot-Marie-Tooth Disease

Foot & Ankle ◽  
1993 ◽  
Vol 14 (8) ◽  
pp. 476-486 ◽  
Author(s):  
James R. Holmes ◽  
Sigvard T. Hansen
Keyword(s):  
Soft Tissue ◽  
Neurological Dysfunction ◽  
Careful Examination ◽  
Soft Tissue Release ◽  
Tibialis Posterior ◽  
Foot And Ankle ◽  
Tendon Transfers ◽  
Charcot Marie Tooth ◽  
Charcot Marie Tooth Disease ◽  
Tooth Disease

The term Charcot-Marie-Tooth disease represents a spectrum of neurological dysfunction more recently described as hereditary motor-sensory neuropathies. An abnormality of myelination is thought to be responsible for the clinical manifestations. While histological findings have been well described, the exact biochemical basis for this disorder remains unknown. Over one half of patients with Charcot-Marie-Tooth disease manifest foot and ankle problems, including pain, weakness, deformity, and, rarely, paresthesias. Characteristic patterns of neuromuscular weakness have been identified. Bilateral pes cavovarus is the most common pathologic foot deformity seen. The specific components include hindfoot varus, anterior or forefoot cavus, and, often, clawtoes. The etiology of this abnormal foot posture usually results from tibialis posterior overpowering peroneus brevis coupled with peroneus longus overpowering tibialis anterior. Multiple treatment options have been described. Rationale for specific tendon transfers, soft tissue release, osteotomies, and arthrodesis is discussed. Results of surgical intervention are difficult to interpret and compare because of the wide spectrum of both neurological dysfunction and described operative procedures. In the presence of flexible deformity, early soft tissue release and tendon transfers may help prevent or delay more extensive bony procedures. The clinical results of triple arthrodesis in the Charcot-Marie-Tooth disease patient appear to deteriorate with time. Genetic transmission, progression of the neurological dysfunction, flexibility of the deformity, distribution of muscular weakness, and anticipated foot demands vary a great deal within this patient population. Treatment decisions, therefore, must be individualized and based upon a clear history, careful examination, and well-defined patient goals.

Operative Management of Foot and Ankle Equinovarus Associated with Focal Dystonia

1998 ◽  
Vol 19 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Thomas J. Moore ◽  
William Evans ◽  
Douglas Murray
Keyword(s):  
Tendon Transfer ◽  
Operative Management ◽  
Clinical Results ◽  
Focal Dystonia ◽  
Functional Improvement ◽  
Foot And Ankle ◽  
Tendon Transfers ◽  
Anterior Tibial ◽  
Clinically Significant

Six surgical procedures, consisting of tendon transfers and releases, were performed in five patients with idiopathic focal dystonia involving the lower extremity. All patients were female. Surgical management was performed to correct clinically significant foot abnormalities. The goal of each procedure was functional improvement and obtaining a plantigrade foot. The SPLATT (split anterior tibial tendon transfer) procedure was performed in each foot with a flexible equinovarus foot abnormality. Follow up at a mean of 27.2 months (range, 8–40 months) yielded satisfactory clinical results without significant complications. Clinical equinovarus has not recurred after this procedure. All patients remain brace-free ambulators.

Complications After Tendon Transfers in the Foot and Ankle Using Bioabsorbable Screws

2013 ◽  
Vol 34 (4) ◽  
pp. 486-490 ◽  
Author(s):  
Thomas O. Clanton ◽  
Alex A. Betech ◽  
Aaron M. Bott ◽  
Lauren M. Matheny ◽  
Braden Hartline ◽  
...  
Keyword(s):  
Foot And Ankle ◽  
Tendon Transfers ◽  
Bioabsorbable Screws
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