Split Anterior Tibial Tendon Transfer to Dorsal Lateral Foot for Cavovarus Deformities With Neuropathic Ulcerations: A Case Series

Cates, Nicole K.; Bunka, Taylor J.; Kavanagh, Amber M.; Wynes, Jacob

doi:10.1053/j.jfas.2021.08.004

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Analysis was conducted at the 1 st and 2 nd metatarsophalangeal joints (MTPJs) for all participants as these are commonly investigated in foot pressure analysis particularly in diabetic care. According to research 33-35% of foot ulcerations in diabetic patients occur at the 1 st MTPJ joint [17].…”

Section: Data Collectionmentioning

confidence: 99%

Can the F‐Scan in‐shoe pressure system be combined with the GAITRite® temporal and spatial parameter‐recording walkway as a cost‐effective alternative in clinical gait analysis? A validation study

Speight

Reel

Stephenson

2023

Journal of Foot and Ankle Research

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Background Clinical gait analysis is widely used to aid the assessment and diagnosis of symptomatic pathologies. Foot function pressure systems such as F-scan and analysis of the spatial–temporal parameters of gait using GAITRite® can provide clinicians with a more comprehensive assessment. There are systems however, such as Strideway™ that can measure these parameters simultaneously but can be expensive. F-Scan in-shoe pressure data is normally collected whilst the person is walking on a hard floor surface. The effects of the softer Gaitrite® mat upon the F-Scan in-shoe sensor pressure data is unknown. This study therefore aimed to assess the agreement between F-Scan pressure measurements taken from a standard walkway (normal hard floor), and those from a GAITRite® walkway to establish whether these two pieces of equipment (in-shoe F-Scan and GAITRite®) can be used simultaneously, as a cost-effective alternative. Method Twenty-three participants first walked on a standard floor and then on a GAITRite® walkway wearing F-Scan pressure sensor insoles with same footwear. They repeated these walks three times on each surface. Mid gait protocols were utilised by analysing the contact pressure of the first and second metatarsophalangeal joint of the third, fifth and seventh step from each walk. For both joints, 95% Bland–Altman Limits of Agreement was used to determine a level of agreement between the two surfaces, using mean values from pressure data collected from participants who successfully completed all required walks. The intraclass correlation coefficient (ICC) and Lin’s concordance correlation coefficient were calculated as indices of reliability. Findings ICC results for the hard surface and the GAITRrite® walkway at the first and second metatarsophalangeal joints were 0.806 and 0.991 respectively. Lin’s concordance correlation coefficient for the first and second metatarsophalangeal joints were calculated to be 0.899 and 0.956 respectively. Both sets of statistics indicate very good reproducibility. Bland–Altman plots revealed good repeatability of data at both joints. Conclusion The level of agreement in F-Scan plantar pressures observed between walking on a normal hard floor and on a GAITRite® walkway was very high, suggesting that it is feasible to use F-Scan with GAITRite® together in a clinical setting, as an alternative to other less cost-effective standalone systems. Although it is assumed combining F-Scan with GAITRite® does not affect spatiotemporal analysis, this was not validated in this study.

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Section: Data Collectionmentioning

confidence: 99%

Can the F‐Scan in‐shoe pressure system be combined with the GAITRite® temporal and spatial parameter‐recording walkway as a cost‐effective alternative in clinical gait analysis? A validation study

Speight

Reel

Stephenson

2023

Journal of Foot and Ankle Research

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Surgical Offloading, Tendon Balancing, and Prophylactic Surgery in Diabetic Limb Salvage

Steinberg,

Carroll,

Atves

et al. 2023

Functional Limb Salvage

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Anterior or Posterior Tibial Tendon Transfer to the Peroneus Tertius for Equinovarus Deformity

Dong,

Jiang,

et al. 2024

Orthopaedic Surgery

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BackgroundEquinovarus deformity correction was performed by soft tissue release and bone deformity correction, and tendon transfer to maintain deformity correction. Because of the high complication rate of tendon fixation methods, partial or total anterior tibial tendon or posterior tibial tendon transfer to the peroneus tertius tendon was reported. The purpose of this study was (i) to review the results of this tendon transfer technique after release and correction of talipes equinovarus, and (ii) to analyze the complication of this technique.MethodsBetween February 2017 and May 2022, 176 patients (210 feet) with equinus and/or varus foot and ankle deformities underwent anterior or posterior tibial tendon transfer to the peroneus tertius in our institute. Preoperative and postoperative foot and ankle range of motion (passive and active) were checked. The postoperative radiographic assessment included antero‐posterior (AP), lateral, and hindfoot alignment radiographs. Preoperative and postoperative lateral tibio‐talar, talo‐calcaneal, talo‐first metatarsal, tibial‐sole angles, hindfoot alignment, and anterior subluxation of the talus were checked. The American Orthopedic Foot and Ankle Society (AOFAS) ankle‐hindfoot scale, and visual analog scale (VAS) were used to assess pain. Paired Student's t‐test was used to compare the clinical scores and radiographic angles before the operation and at the last follow‐up.ResultsThe mean age of the patients was 23.27 ± 13.44 years (range, 3–69 years). The mean follow‐up time was 25.56 ± 16.37 months (range, 12–68 months). There were significant differences between the preoperative and postoperative measurements of the lateral tibio‐talar angle, lateral talo‐calcaneal angle, lateral talo‐first metatarsal angle, lateral tibial‐sole angle, and hindfoot alignment (p < 0.001). There was significant difference between the preoperative and postoperative AOFAS and VAS scores (p < 0.001). The early complications included infection in one patient, skin necrosis in two patients, and plantar numbness in three patients. The late complications included pin infection in three patients, tibio‐talar joint compression in four patients, forefoot pain in two patients, toe flexion in two patients, and plantar numbness in one patient. There were three cases of complications (1.43%) related to the transferred tendons.ConclusionTibialis anterior or posterior tendon transfer to the peroneus tertius is a safe and effective method for equinovarus deformity correction. It yielded excellent outcomes that produced high patient satisfaction and few complications.

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Split Anterior Tibial Tendon Transfer to Dorsal Lateral Foot for Cavovarus Deformities With Neuropathic Ulcerations: A Case Series

Cited by 3 publications

References 20 publications

Can the F‐Scan in‐shoe pressure system be combined with the GAITRite® temporal and spatial parameter‐recording walkway as a cost‐effective alternative in clinical gait analysis? A validation study

Can the F‐Scan in‐shoe pressure system be combined with the GAITRite® temporal and spatial parameter‐recording walkway as a cost‐effective alternative in clinical gait analysis? A validation study

Surgical Offloading, Tendon Balancing, and Prophylactic Surgery in Diabetic Limb Salvage

Anterior or Posterior Tibial Tendon Transfer to the Peroneus Tertius for Equinovarus Deformity

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