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Effect of split posterior tibialis tendon transfer on foot progression angle in children with cerebral palsy.
Sayan, De; Skinner, Austin; Tagawa, Alex; Coomer, Wade; Koerner, Jason; Silveira, Lori; Carollo, James; Rhodes, Jason.
Afiliación
  • Sayan; University of Colorado School of Medicine, USA; Children's Hospital Colorado Center for Gait and Movement Analysis, USA; Orthopedics Institute, Children's Hospital Colorado, USA.
  • Skinner A; University of Colorado School of Medicine, USA; Children's Hospital Colorado Center for Gait and Movement Analysis, USA.
  • Tagawa A; University of Colorado School of Medicine, USA; Children's Hospital Colorado Center for Gait and Movement Analysis, USA.
  • Coomer W; Donald and Barbara Zucker School of Medicine at Hofstra, Hempstead, NY, USA.
  • Koerner J; University of Colorado School of Medicine, USA.
  • Silveira L; University of Colorado Anschutz Medical Campus, USA.
  • Carollo J; University of Colorado School of Medicine, USA; Children's Hospital Colorado Center for Gait and Movement Analysis, USA.
  • Rhodes J; University of Colorado School of Medicine, USA; Children's Hospital Colorado Center for Gait and Movement Analysis, USA; Orthopedics Institute, Children's Hospital Colorado, USA. Electronic address: jason.rhodes@childrenscolorado.org.
Foot (Edinb) ; 59: 102087, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38569253
ABSTRACT

OBJECTIVES:

A common orthopedic issue for patients with spastic cerebral palsy (CP) is hindfoot varus deformity. One method of treatment is the split posterior tibialis tendon transfer (SPOTT). There is limited literature on the effect of SPOTT on foot progression angle (FPA) in children with CP who have equinovarus deformities. The objective of our study was to evaluate the change in FPA after SPOTT to determine if this procedure can improve FPA. RESEARCH QUESTION This study aims to determine what axial changes are generated from a split posterior tibial tendon transfer in children with CP.

METHODS:

We performed a retrospective analysis of all ambulatory children with a diagnosis of CP who underwent SPOTT at our institution. Patients with bony rotational procedures were excluded. Descriptive statistics including mean and standard deviation (SD) were used to characterize continuous variables. Paired t-tests were used to evaluate outcomes, in which a target outcome was defined as a post-operative FPA between 0-10° of external rotation.

RESULTS:

44 limbs were included. Demographics were as follows 26/13 female/male; mean age[SD] (years) 9.8[3.5]; 30 hemiplegic, 9 diplegic, and 1 triplegic. Of the 44 limbs, 18 limbs had a target outcome, 4 had no change, and 22 had a non-target outcome. Of the 22 with an outcome outside of the target, 4 limbs trended away from a target outcome. The overall change in FPA measured was - 10.9 ± 14.7° (p < 0.0001) Age at time of surgery, CP involvement, pre-operative FPA, and GMFCS level were not predictors of outcome (p > 0.05).

CONCLUSIONS:

SPOTT produced a change of 10.9° external rotation in FPA post-operatively and its effects should be considered when planning a SEMLS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transferencia Tendinosa / Parálisis Cerebral Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transferencia Tendinosa / Parálisis Cerebral Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido