Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA.
Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA.
J Foot Ankle Surg. 2022 Jul-Aug;61(4):886-887. doi: 10.1053/j.jfas.2021.12.014. Epub 2021 Dec 11.
Split anterior tibialis tendon transfer is a common orthopedic surgical procedure for varus foot deformities. In the absence of the peroneus tertius, the peroneus brevis may be used in the transfer. Little is known about the prevalence of each transfer type. The goal of this study is to understand trends in tendon transfer for patients who undergo split anterior tibialis tendon transfer. Records of all patients who underwent tibialis anterior tendon split transfer at our institution between January 2004 and September 2020 were reviewed. After, 337 subjects who underwent tibialis anterior tendon split transfer were included. The peroneus tertius was absent in 33.2% (112/337) of subjects. Logistic regressions showed the odds of having a missing peroneus tertius were 66.9% lower for subjects with cerebral palsy and related etiologies (odds ratio [OR]: 0.331, 95% confidence interval [CI]: 0.21, 0.53), 47% lower for white subjects (OR: 0.53, 95% CI: 0.31, 0.91), and 59.1% lower for non-Hispanic subjects (OR: 0.409, 95% CI: 0.25, 0.66). The odds of a missing peroneus tertius tendon were 2.72 times higher for subjects who identified in the other racial category (95% CI: 1.65, 4.49), and 2.41 times greater for subjects who identified as Hispanic (95% CI: 1.51, 3.84). Patients who underwent the procedure who identified as Hispanic or members of other (non-White, -Black, -Asian) racial groups had an increased likelihood of having a missing peroneus tertius tendon. Patients who identified as white, having cerebral palsy or related etiologies, or non-Hispanic had a decreased risk of having a missing peroneus tertius tendon.
胫骨前肌腱劈开转移术是治疗足内翻畸形的一种常见矫形外科手术。在没有第三腓骨肌的情况下，可将腓骨短肌用于转移。对于每种转移类型的患病率知之甚少。本研究的目的是了解在我们机构接受胫骨前肌劈开转移术的患者中肌腱转移的趋势。回顾了 2004 年 1 月至 2020 年 9 月期间在我院接受胫骨前肌腱劈开转移术的所有患者的记录。之后，共纳入 337 例接受胫骨前肌腱劈开转移术的患者。33.2%（112/337）的患者第三腓骨肌缺失。Logistic 回归显示，脑瘫及相关病因患者缺失第三腓骨肌的几率降低 66.9%（比值比 [OR]：0.331，95%置信区间 [CI]：0.21，0.53），白种人患者降低 47%（OR：0.53，95% CI：0.31，0.91），非西班牙裔患者降低 59.1%（OR：0.409，95% CI：0.25，0.66）。其他种族类别的患者缺失第三腓骨肌的几率增加 2.72 倍（95% CI：1.65，4.49），西班牙裔患者增加 2.41 倍（95% CI：1.51，3.84）。确定为西班牙裔或其他（非白种人、非黑种人、非亚洲人）种族群体的接受该手术的患者发生缺失第三腓骨肌的可能性增加。确定为白种人、脑瘫及相关病因或非西班牙裔的患者发生缺失第三腓骨肌的风险降低。
