Ezra E, Hayek S, Gilai A N, Khermosh O, Wientroub S
Department of Paediatric Orthopaedics, Dana Children's Hospital, Tel-Aviv Medical Centre, Israel.
J Pediatr Orthop B. 2000 Jun;9(3):207-11. doi: 10.1097/01202412-200006000-00012.
Twenty-seven previously treated club feet in 25 patients were evaluated retrospectively following tibialis anterior tendon transfer to the dorsum of the foot to correct residual dynamic supination deformity. In 11 feet, the transfer was combined with additional soft tissue and or bony procedures to treat other accompanying deformities. Electrophysiologically demonstrated peroneal weakness causing muscle imbalance contributed to the etiology of this dynamic deformity. At follow-up, none of the patients had dynamic supination deformity during ambulation. All showed active contraction of the transferred tibialis anterior tendon. There was no case of overcorrection. Functional and cosmetic results were assessed by parents and surgeons as being excellent. Tibialis anterior tendon transfer is recommended to correct residual dynamic supination deformity and to restore muscle balance after satisfactory correction of idiopathic club foot contractures.
对25例患者先前治疗过的27只畸形足进行了回顾性评估，这些患者在胫前肌腱转移至足背以纠正残留的动态内旋畸形后接受了评估。在11只足中，该转移术与其他软组织和/或骨性手术相结合，以治疗其他伴随的畸形。电生理显示腓骨肌无力导致肌肉失衡，这是这种动态畸形病因的一部分。随访时，所有患者在行走过程中均无动态内旋畸形。所有患者均显示转移的胫前肌腱有主动收缩。没有过度矫正的病例。家长和外科医生评估功能和外观结果均为优秀。建议进行胫前肌腱转移术，以纠正残留的动态内旋畸形，并在特发性马蹄内翻足挛缩得到满意矫正后恢复肌肉平衡。
