Department of Orthopaedic, Consultant Pediatric Orthopaedic Surgeon, Children's Hospital "P. & A. Kyriakou", Athens, Greece.
KAT General Attika Hospital, Athens, Greece.
JBJS Case Connect. 2021 Dec 21;11(4):01709767-202112000-00078. doi: e21.00423.
We describe the split transfer of tibialis posterior tendon to the tendon stump of tibialis anterior and distal end of peroneus brevis after a failed transfer of tibialis anterior to the lateral aspect of the foot for recurrent bilateral clubfeet at the age of 5 years. The purpose of this surgical technique was to restore the dynamic balance of foot inversion-eversion, during the gait cycle, by augmenting the muscular strength of peroneus brevis and tibialis anterior. The results of the 4-year follow-up were very encouraging.
We recommend this technique for a failed tendon transfer of the tibialis anterior for recurrent clubfeet.
我们描述了一例 5 岁时因双侧马蹄内翻足复发，在前侧足外侧行胫前肌腱转位失败后，将比目鱼肌肌腱和胫后肌腱断端转移至胫前肌腱的手术。该手术技术的目的是通过增强比目鱼肌和胫前肌的肌力来恢复足内翻-外翻的动态平衡。4 年的随访结果非常令人鼓舞。
我们建议将此技术用于治疗因复发的马蹄内翻足而导致的胫前肌腱转位失败。
