Author/Authors :
Erken, H. Yener Anadolu Saglik Merkezi Hastanesi - Ortopedi ve Travmatoloji Klinigi, Turkey , Yasmin, Davud Anadolu Saglik Merkezi Hastanesi - Ortopedi ve Travmatoloji Klinigi, Turkey , Burç, Halil Süleyman Demirel Üniversitesi - Tip Fakültesi, Ortopedi ve Travmatoloji Klinigi, Turkey , Akmaz, Ibrahim Anadolu Saglik Merkezi Hastanesi - Ortopedi ve Travmatoloji Klinigi, Turkey , Kiral, Ahmet Anadolu Saglik Merkezi Hastanesi - Ortopedi ve Travmatoloji Klinigi, Turkey
Abstract :
Aim: The aim of the study is represent 3 years follow-up results after split transfer of tibialis anterior tendon and intramuscular lengthening of tibialis posterior tendon together for foot varus deformity due to cerabral palsy. Patients and Method: Twelve patients who have foot varus deformity due to cerebral palsy were included in the study between 2008-2012 prospectively. Mean age was 8.1. Secondary to combined split transfer of tibialis anterior tendon and intramuscular lengthening of tibialis posterior tendon percutaneous achilles lengthening for 9 patients and open achilles lengthening for 2 patients were applied simultaneously. Functions and clinical results were evaluated according to AOFAS (American Orthopaedic Foot and Ankle Society) score and Kling et al scoring system respectively. Results: Mean follow-up was 29.3 months. According to Kling et al score 7 patients were excellent, 4 were good and 1 were poor. Patients with excelent and good results had platigrade posture. Operated 17 feet at 12 patients had mean preop and last follow-up AOFAS score were 35.8 and 81.4 respectively. The diffence was statistically significant (p=0.023). Discussion: Combined split transfer of tibialis anterior tendon and intramuscular lengthening of tibialis posterior tendon method has found as an effective technique for dynamic varus foot deformity of cerebral palsy during both stance and swing phase of gait
NaturalLanguageKeyword :
Cerebral palsy , tibialis anterior tendon , tibialis posterior tendon , split transfer
