Mulier T, Moens P, Molenaers G, Spaepen D, Dereymaeker G, Fabry G
H. Hart Hospital, Leuven, Belgium.
Foot Ankle Int. 1995 Dec;16(12):754-9. doi: 10.1177/107110079501601203.
The split posterior tibial tendon transfer procedure was first reported by Green for correction of equinovarus hindfoot deformity in patients with cerebral palsy. A modification of the split posterior tibial tendon transfer combined with an Achilles tendon lengthening is described in 17 children (21 procedures) with a minimum follow-up of 3 years. This modified technique is indicated in young children with a continuously spastic posterior tibial tendon to correct a dynamic equinovarus. It restores active dorsiflexion when the anterior tibial and extensor muscles are weak. The anterior half of the split tibialis posterior is transferred through the interosseus membrane to the dorsum of the foot. Excellent or good results and two poor results were noted after a mean follow-up of 29 months. In the patients with an excellent or good result, marked improvement of their equinovarus foot deformity in stance and swing phase of gait was seen. In two patients, the procedure failed because of technical errors.
胫后肌腱劈开转移术最早由格林报道，用于矫正脑瘫患者的马蹄内翻足畸形。本文描述了对17例儿童（共进行21次手术）采用改良的胫后肌腱劈开转移术并联合跟腱延长术，随访时间最短为3年。这种改良技术适用于胫后肌腱持续痉挛的幼儿，以矫正动力性马蹄内翻足。当胫前肌和伸肌较弱时，该技术可恢复主动背屈功能。胫后肌腱劈开后的前半部分通过骨间膜转移至足背。平均随访29个月后，结果为优或良的有很多，结果为差的有两例。在结果为优或良的患者中，可见其马蹄内翻足畸形在步态站立期和摆动期有明显改善。有两例患者因技术失误导致手术失败。
