Comparison of three different methods of anterior tibial tendon transfer for relapsed clubfoot: A pilot study.

ABSTRACT:

Introduction

The commonly techniques for anterior tibial tendon transfer (ATTT) for clubfoot are split transfers (Hoffer), whole transfers to cuboid (Garceau) or 3rd cuneiform (Ponseti). We compared these surgical ATTT methods for relapsed clubfoot.

Material and methods

Thirty relapsed clubfoot (46 feet) patients initially treated with Ponseti casting technique were prospectively randomized for ATTT techniques. The outcome was evaluated in terms of foot inversion, eversion and ankle dorsiflexion.

Results

Average follow up was 5.49 months. Whole transfers had better absolute ankle dorsiflexion than split transfers. Foot inversion was comparable in Hoffer and Ponseti transfers but better with Garceau transfers. For eversion, best values occurred with Ponseti transfers.

SUBMITTER: Agarwal A 

PROVIDER: S-EPMC7026582 | biostudies-literature | 2020 Mar-Apr

REPOSITORIES: biostudies-literature