Study of Split Tibialis Anterior Tendon Transfer to Peroneus Brevis in Management of Equinovarus Deformity among Children with Cerebral Palsy | ||||
| Zagazig University Medical Journal | ||||
| Article 9, Volume 30, Issue 1.3, March and April 2024, Page 57-64 PDF (885.05 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2023.230587.2853 | ||||
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| Authors | ||||
Ahmed Mohamed Mahmoud Selim  1; Riad Mansour Megahed2; Mohamed Mansour Elzohairy3; Walid Faisal Elsharkawy4
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| 1Orthopedic Surgery Department, Faculty of Medicine, Zagazig university | ||||
| 2orthopedic department;zagazig university;Egypt | ||||
| 3Orthopedic Surgery Department ' faculty of Human medicine, Zagazig university, Egypt | ||||
| 4Orthopedic department, Faculty of medicine, Zagazig university, Egypt | ||||
| Abstract | ||||
| Background: About one third of kids with spastic hemiplegic cerebral palsy also have equinovarus. For equinovarus deformity, the ideal soft-tissue surgical treatment is a split transfer of the tibialis anterior tendon. Objectives: To evaluate the radiological as well as clinical results of split transfer of tibialis anterior to peroneus brevis in management of equinovarus deformity among children with cerebral palsy. Subjects and methods: This is interventional clinical trial study that was performed on 18 patients presented to orthopedic department at Zagazig University Hospitals with equinovarus foot deformity undergone split tibilais anterior transfer to peroneus brevis with fractional lengthening of tibilais posterior and gastrocnemius recession. Results: The pain and difficulty of shoe-wearing were improved in all the patients (100.0%). There were 15 patients (83.3%) had an excellent outcome, and only 3 patients (16.7%) had a good outcome according to Kling’s score. We found a highly statistically significant decrease (improve) in the GMFC score from (2.3±0.48) to become (1.3±0.47) (p-value<0.001) with a percent of improvement (50.4%) ranging from (43.1%-69.2%). There were 13 patients (72.2%) didn’t have any complications, two cases (11.1%) had dry, flaky skin & itching after the cast and three cases (16.7%) had superficial wound infections which treated by parental antibiotics for 2 weeks. Conclusion: The benefits of split tibialis anterior transfer to peroneus brevis in treating equinovarus foot deformity in cerebral palsy patients have been demonstrated by this research. The procedure is technically simple, with high rates of success and minimal complications | ||||
| Keywords | ||||
| Split Tibialis Anterior Tendon Transfer; Peroneus Brevis; Equinovarus Deformity; cerebral palsy | ||||
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