Department of Orthopaedic Surgery, University of California Davis, 4860 Y Street, Suite 3800, Sacramento, CA, USA.
Department of Orthopaedic Surgery, University of California Davis, 4860 Y Street, Suite 3800, Sacramento, CA, USA; Department of Orthopaedic Surgery, Shriners Children's Hospital Northern California, 2425 Stockton Boulevard, Sacramento, CA 95817, USA.
Orthop Clin North Am. 2022 Jul;53(3):311-317. doi: 10.1016/j.ocl.2022.03.005. Epub 2022 May 27.
The transfer of the tibialis posterior tendon has been used to correct hindfoot varus and dorsiflexion weakness in cerebral palsy. It is expendable, has a favorable direction for dorsiflexion and eversion posterior to the tibia, and is the source of hindfoot varus in most cases. However, the foot and ankle must be flexible without skeletal deformity. The electromyography of the tibialis posterior should be present in the swing phase for the tendon transfer to function correctly. Techniques and pitfalls are described to plan and execute a successful tibialis posterior tendon transfer.
跟腱转移术已被用于矫正脑瘫患者的后足内翻和背屈无力。它是可牺牲的，在胫骨后具有有利于背屈和外旋的方向，并且是大多数情况下后足内翻的根源。然而，足部和踝关节必须没有骨骼畸形且具有柔韧性。跟腱转移术要正确发挥作用，其在摆动相的肌电图应该存在。本文介绍了规划和执行成功的跟腱转移术的技术和要点。
