Mizel M S, Temple H T, Scranton P E, Gellman R E, Hecht P J, Horton G A, McCluskey L C, McHale K A
Boston University, Massachusetts, USA.
Foot Ankle Int. 1999 May;20(5):285-9. doi: 10.1177/107110079902000502.
Ten patients were identified with traumatic, complete common peroneal nerve palsy, with no previous foot or ankle surgery or trauma distal to the knee, who had undergone anterior transfer of the posterior tibial tendon to the midfoot. Six of these patients had a transfer to the midfoot and four had a Bridle procedure with tenodesis of half of the posterior tibial tendon to the peroneus longus tendon. Average follow-up was 74.9 months (range, 18-351 months). All patients' feet were compared assessing residual muscle strength, the longitudinal arch, and motion at the ankle, subtalar, and Chopart's joint. Weightbearing lateral X-rays and Harris mat studies were done on both feet. In no case was any valgus hindfoot deformity associated with posterior tibial tendon rupture found. It seems that the pathologic condition associated with a posterior tibial tendon deficient foot will not manifest itself if peroneus brevis function is absent.
10例患者被确诊为创伤性完全性腓总神经麻痹，既往无足部或踝关节手术史，膝关节远端无创伤，均接受了胫后肌腱向中足的前移术。其中6例患者进行了向中足的转移，4例进行了一种将胫后肌腱一半与腓骨长肌腱进行固定的系带手术。平均随访74.9个月（范围18 - 351个月）。对所有患者的足部进行比较，评估残余肌肉力量、纵弓以及踝关节、距下关节和Chopart关节的活动度。对双足进行负重位外侧X线检查和Harris足底压力研究。未发现任何与胫后肌腱断裂相关的后足外翻畸形病例。似乎如果腓骨短肌功能缺失，与胫后肌腱缺失足相关的病理状况不会表现出来。
