Journal article
Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot
JBJS essential surgical techniques, Vol.5(3), pp.e16-e16
09/23/2015
DOI: 10.2106/JBJS.ST.O.00015
PMCID: PMC6221415
PMID: 30473924
Abstract
A relapsed idiopathic clubfoot can be effectively treated with transfer of the entire tibialis anterior tendon to the mid-dorsum of the foot following repeated manipulations and serial casts.
Ensure that the foot has been adequately corrected for tendon transfer by performing both clinical and radiographic evaluation.
Position the patient supine, induce general anesthesia, and perform a caudal block for postoperative pain management.
Identify the tibialis anterior tendon and release its insertion on the medial cuneiform and first metatarsal bones.
Release obstructing tissues and prepare the freed tendon for lateral transfer to the mid-dorsum of the foot.
Identify the lateral cuneiform with fluoroscopy and prepare it for transfer of the tibialis anterior tendon.
Make a subcutaneous path, transfer the tendon, and secure it in the osseous tunnel of the lateral cuneiform.
We apply a long leg cast and restrict patients to non-weight-bearing for six weeks.
The tibialis anterior tendon transfer has been used to treat relapsing idiopathic clubfoot with great success for more than fifty years.IndicationsContraindicationsPitfalls & Challenges.
Details
- Title: Subtitle
- Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot
- Creators
- Joshua B Holt - Ponseti Clubfoot Treatment Center, Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242Brian Westerlind - Ponseti Clubfoot Treatment Center, Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242Jose A Morcuende - Ponseti Clubfoot Treatment Center, Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242
- Resource Type
- Journal article
- Publication Details
- JBJS essential surgical techniques, Vol.5(3), pp.e16-e16
- DOI
- 10.2106/JBJS.ST.O.00015
- PMID
- 30473924
- PMCID
- PMC6221415
- NLM abbreviation
- JBJS Essent Surg Tech
- ISSN
- 2160-2204
- eISSN
- 2160-2204
- Publisher
- United States
- Language
- English
- Date published
- 09/23/2015
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040437402771
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