scholarly journals Follow-up of tibialis posterior transfer surgery (TPT) for drop-foot in leprosy

2007 ◽  
Vol 76 (3) ◽  
pp. 219-226 ◽  
Author(s):  
Yutaka ISHIDA ◽  
Saw LWIN ◽  
Kyaw MYINT
Keyword(s):  
Tibialis Posterior ◽  
Drop Foot ◽  
Tibialis Posterior Transfer

Long-term follow-up of patients undergoing tibialis posterior transfer: Is acquired pes planus a complication?

The Foot ◽  
2018 ◽  
Vol 34 ◽  
pp. 83-89 ◽  
Author(s):  
Mira Pecheva ◽  
Adam Devany ◽  
Basil Nourallah ◽  
Steven Cutts ◽  
Chandra Pasapula
Keyword(s):  
Tibialis Posterior ◽  
Pes Planus ◽  
Long Term Follow Up ◽  
Tibialis Posterior Transfer

scholarly journals Lateral open wedge calcaneus osteotomy with bony allograft augmentation in adult acquired flatfoot deformity. Clinical and radiological results

2021 ◽  
Author(s):  
Gabriele Colo’ ◽  
Mattia Alessio Mazzola ◽  
Giulio Pilone ◽  
Giacomo Dagnino ◽  
Lamberto Felli
Keyword(s):  
Range Of Motion ◽  
Case Series ◽  
Deformity Correction ◽  
Tibialis Posterior ◽  
Open Wedge ◽  
Foot And Ankle ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Adult Acquired Flatfoot Deformity

Abstract The aim of this study is to evaluate the results of patients underwent lateral open wedge calcaneus osteotomy with bony allograft augmentation combined with tibialis posterior and tibialis anterior tenodesis. Twenty-two patients underwent adult-acquired flatfoot deformity were retrospectively evaluated with a minimum 2-year follow-up. Radiographic preoperative and final comparison of tibio-calcaneal angle, talo–first metatarsal and calcaneal pitch angles have been performed. The Visual Analog Scale, American Orthopedic Foot and Ankle Score, the Foot and Ankle Disability Index and the Foot and Ankle Ability Measure were used for subjective and functional assessment. The instrumental range of motion has been also assessed at latest follow-up evaluation and compared with preoperative value. There was a significant improvement of final mean values of clinical scores (p < 0.001). Nineteen out of 22 (86.4%) patients resulted very satisfied or satisfied for the clinical result. There was a significant improvement of the radiographic parameters (p < 0.001). There were no differences between preoperative and final values of range of motion. One failure occurred 7 years after surgery. Adult-acquired flatfoot deformity correction demonstrated good mid-term results and low recurrence and complications rate. Level of evidence Level 4, retrospective case series.

Role of Tendoscopy in Treating Stage II Posterior Tibial Tendon Dysfunction

2018 ◽  
Vol 39 (4) ◽  
pp. 433-442 ◽  
Author(s):  
Alessio Bernasconi ◽  
Francesco Sadile ◽  
Matthew Welck ◽  
Nazim Mehdi ◽  
Julien Laborde ◽  
...  
Keyword(s):  
Invasive Surgery ◽  
Stage Ii ◽  
Preoperative Imaging ◽  
Tibialis Posterior ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Spring Ligament ◽  
Sf 36

Background: Stage II tibialis posterior tendon dysfunction (PTTD) resistant to conservative therapies is usually treated with invasive surgery. Posterior tibial tendoscopy is a novel technique being used in the assessment and treatment of posterior tibial pathology. The aims of this study were (1) to clarify the role of posterior tibial tendon tendoscopy in treating stage II PTTD, (2) to arthroscopically classify spring ligament lesions, and (3) to compare the arthroscopic assessment of spring ligament lesions with magnetic resonance imaging (MRI) and ultrasonographic (US) data. Methods: We reviewed prospectively collected data on 16 patients affected by stage II PTTD and treated by tendoscopy. We report the reoperation rate and functional outcomes evaluated by comparing pre- and postoperative visual analogic scale for pain (VAS-pain) and the Short-Form Health Survey (SF-36; with its physical [PCS] and mental [MCS] components). Postoperative satisfaction was assessed using a VAS-satisfaction scale. One patient was lost to follow-up. Spring ligament lesions were arthroscopically classified in 3 stages. Discrepancies between preoperative imaging and intraoperative findings were evaluated. Results: At a mean of 25.6 months’ follow-up, VAS-pain ( P < .001), SF-36 PCS ( P = .039), and SF-36 MCS ( P < .001) significantly improved. The mean VAS-satisfaction score was 75.3/100. Patients were relieved from symptoms in 80% of cases, while 3 patients required further surgery. MRI and US were in agreement with intraoperative data in 92% and 67%, respectively, for the tendon assessment and in 78% and 42%, respectively, for the spring ligament. Conclusions: Tendoscopy may be considered a valid therapeutic tool in the treatment of stage II PTTD resistant to conservative treatment. It provided objective and subjective encouraging results that could allow continued conservative therapy while avoiding more invasive surgery in most cases. MRI and US were proven more useful in detecting PT lesions than spring ligament tears. Further studies on PT could use this tendoscopic classification to standardize its description. Level of Evidence: Level IV, therapeutic study, case series.

TWO-TAILED TRANSFER OF TIBIALIS POSTERIOR FOR CORRECTION OF DROP-FOOT IN LEPROSY

1968 ◽  
Vol 50-B (3) ◽  
pp. 623-628 ◽  
Author(s):  
H. Srinivasan ◽  
S. M. Mukherjee ◽  
R. A. Subramaniam
Keyword(s):  
Tibialis Posterior ◽  
Drop Foot

Chronic Peroneus Brevis Tendon Lesions

Foot & Ankle ◽  
1989 ◽  
Vol 9 (4) ◽  
pp. 163-170 ◽  
Author(s):  
G. James Sammarco ◽  
Charles V. DiRaimondo
Keyword(s):  
Ankle Instability ◽  
Ankle Injuries ◽  
Tibialis Posterior ◽  
Duration Of Symptoms ◽  
Predominant Symptom ◽  
Ankle Ligament ◽  
Lateral Ankle Instability ◽  
Peroneus Brevis ◽  
And Function

Changes can occur in the peroneus brevis tendon following ankle injuries or sprains. A series of 14 tendon lesions is reported in the ankles of 13 patients. The duration of symptoms ranged from 8 months to 20 years. The predominant symptom in 12 ankles was lateral pain. In 11 ankles, lateral ankle instability was treated by a reconstruction with the split peroneus brevis graft, and in one ankle, by direct repair. The defects were found during harvest of the graft. One patient had previous fractures with bony impingement and one had a chronic tear of the tibialis posterior tendon with pes planus. All lesions were located in the segment of the tendon at or distal to the lateral malleolus. The lesions were 2 to 5 cm in length, single or multiple, and with a grossly degenerative appearance. No avulsions or anomalies of the tendon were found. In 11 patients, the defect in the peroneus brevis was incorporated into the portion of the tendon in ankle ligament reconstruction for use as a graft; in 2 cases it was repaired directly. On follow-up of eight months to four and one half years, twelve ankles had significant improvement in pain and function.

scholarly journals Release of the Tibialis Posterior Muscle Osseofascial Sheath Improves Results of Deep Exertional Compartment Syndrome Surgery: A Comparative Analysis and Long-term Results

2020 ◽  
Vol 8 (8) ◽  
pp. 232596712094275
Author(s):  
J. Taylor Bellamy ◽  
Adam R. Boissonneault ◽  
Morgan E. Melquist ◽  
Sameh A. Labib
Keyword(s):  
Patient Satisfaction ◽  
Compartment Syndrome ◽  
Tibialis Posterior ◽  
Success Rates ◽  
Posterior Compartment ◽  
Posterior Tibial ◽  
Significant Difference ◽  
Exertional Compartment Syndrome

Background: Success rates for surgical management of chronic exertional compartment syndrome (CECS) are historically lower with release of the deep posterior compartment compared with isolated anterolateral releases. At our institution, when a deep posterior compartment release is performed, we routinely examine for a separate posterior tibial muscle osseofascial sheath and release it if present. Purpose: Within the context of this surgical approach, the aim of the current study was to compare long-term patient satisfaction and activity levels in patients who underwent 2-compartment fasciotomy versus a modified 4-compartment fasciotomy for CECS. Study Design: Cohort study; Level of evidence, 3. Methods: Patients treated with fasciotomy for lower extremity CECS from 2007 to 2017 were retrospectively identified. In all patients in whom a 4-compartment fasciotomy was indicated, the tibialis posterior muscle was examined for a separate osseofascial sheath, which was released when present. Patients completed a series of validated patient-reported outcome (PRO) surveys, including the Marx activity score, Tegner activity score, 12-Item Short Form Health Survey, and Likert score for patient satisfaction. Results: Of the 48 patients who were included in this study, 34 (71%) patients with a total of 52 operative limbs responded and completed PRO surveys. The mean follow-up for the entire cohort was 5.5 ± 2.6 years. Of the 34 patients, 23 (68%) underwent 2-compartment fasciotomy and 11 (32%) underwent 4-compartment fasciotomy. Among the patients in the 4-compartment fasciotomy group, 7 (64%) were found to have a fifth compartment. No significant difference was found in any of the validated PRO measures between patients who had a 2- versus 4-compartment fasciotomy or those who underwent 4-compartment fasciotomy with or without a present fifth compartment. At a mean 5.5-year follow-up, 74% of patients who underwent a 2-compartment release reported good or excellent outcomes compared with 82% of patients who underwent our modified 4-compartment release. Conclusion: The current study, which included the longest follow-up on CECS patients in the literature, demonstrated that the addition of a release of the posterior tibial muscle fascia led to no significant difference in PRO measures between patients who underwent a 2- versus 4-compartment fasciotomy, when historically the 2-compartment fasciotomy group has had higher success rates.

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