Medina P A, Karpman R R, Yeung A T
Maricopa Medical Center, Phoenix, Arizona 85008.
Foot Ankle. 1989 Oct;10(2):65-7. doi: 10.1177/107110078901000204.
This paper describes a simplified technique for split posterior tibial tendon transfer in the treatment of spastic equinovarus deformity of the foot. Thirteen children with spastic equinovarus foot deformities were treated at Children's Rehabilitative Services in Phoenix, Arizona, from 1983 to 1986. The technique was modified in 10 of the 13 patients by attaching the split posterior tibial tendon more proximally to the peroneus brevis, compared to a more distal attachment as described by other authors. The mean length of followup was 21 months. Eleven patients obtained a good or excellent result. Two patients were considered to have a fair result. No poor results or complications were noted in any of the patients. It was felt that the split posterior tibial tendon transfer was an effective procedure for correction of spastic equinovarus as reported by other authors. Modification of the technique significantly simplifies the operation by requiring less dissection while still producing favorable results.
本文描述了一种简化的胫后肌腱劈开转移术，用于治疗足部痉挛性马蹄内翻畸形。1983年至1986年期间，亚利桑那州凤凰城儿童康复服务中心对13例患有痉挛性马蹄内翻足畸形的儿童进行了治疗。与其他作者描述的更远端附着相比，13例患者中有10例对该技术进行了改良，即将劈开的胫后肌腱更靠近近端附着于腓骨短肌。平均随访时间为21个月。11例患者获得了良好或优秀的结果。2例患者被认为结果尚可。所有患者均未出现差的结果或并发症。如其他作者所报道，胫后肌腱劈开转移术被认为是矫正痉挛性马蹄内翻的有效方法。该技术的改良通过减少解剖操作显著简化了手术，同时仍能产生良好的效果。
