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Journals / İstanbul Medical Journal / 2019 / Cilt: 20 - Sayı: 1

The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot

Pes Ekinovarusu Olan Çocuklarda Tibialis Anterior Tendon Transferinin Metatarsus Adduktus Deformitesine Etkisi

Evren AKPINAR
Avni İlhan BAYHAN
Akay KIRAT
Yaşar Mahsut DİNÇEL
Barış ÖZKUL
Osman Nuri ÖZYALVAÇ
Pages
35–38
Publication Date
2022-10-19
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

While there were statistically significant radiologicalcorrections in talus – 1st metatarsal angle and 4th metatarsalmetaphysealangle (p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Tibialis anterior tendon transfer (TATT) is acommon treatment method used in the dynamic supination ofthe foot due to sequelae or relapse of pes equinovarus (PEV).In this method, the TAT is transferred from its insertion on themedial cuneiform to the lateral cuneiform.
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Key Findings & Data:Theaim of our study was to investigate the effect of TATT onmetatarsus adductus deformity.Methods: Sixteen feet of 11 patients who underwent TATTwith the diagnosis of PEV between 2007-2015 were includedin the study.
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Conclusion & Impact:While there were statistically significant radiologicalcorrections in talus – 1st metatarsal angle and 4th metatarsalmetaphysealangle (p
🔬Design:Research Article
📍Scope:2007-2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: Tibialis anterior tendon transfer (TATT) is acommon treatment method used in the dynamic supination ofthe foot due to sequelae or relapse of pes equinovarus (PEV).In this method, the TAT is transferred from its insertion on themedial cuneiform to the lateral cuneiform. Therefore, TATTsurgery may have a corrective effect on metatarsus adducusdeformity by creating a force vector that pushes the middleof the foot from medial to lateral. However, there is limitedliterature on the effect of TATT on metatarsus adductusdeformity, which is one of the components of clubfoot. Theaim of our study was to investigate the effect of TATT onmetatarsus adductus deformity.Methods: Sixteen feet of 11 patients who underwent TATTwith the diagnosis of PEV between 2007-2015 were includedin the study. Pre- and postoperative talus-1.metatarsal angle,talocalcaneal angle and 4. metatars-metaphyseal anglewere measured on standing antero-posterior radiographs.The correction rate of metatarsus adductus deformity wasstatistically analyzed.Results: After a mean follow-up of 26±15 months, the meantalus – 1st metatarsal angle decreased from 18.8±1 degreesto 10.9±6 degrees, the mean talocalcaneal angle from 22.5degrees ±8.6 to 24.4±9.3 degrees and the mean 4th metatarsalmetaphysealangle from 38±14 degrees to 27±11 degrees afterTATT. While there were statistically significant radiologicalcorrections in talus – 1st metatarsal angle and 4th metatarsalmetaphysealangle (p

Özet

Amaç: Pes ekinovarus (PEV) sekellerine ve nükslerine bağlı ayağın dinamik süpinasyonun tedavisinde tibialis anterior tendon transferi (TATT) oldukça sık uygulanan bir tedavi yöntemidir. Bu yöntemde TAT’nin insersyosu ayak medialinden orta hatta taşınmaktadır. Dolayısı ile tibialis anteior kasının ayak ortasını medialden laterale doğru iterek metatarsus adduktus deformitesini düzeltici yönde etki gösteren bir kuvvet vektörü oluşmaktadır. Ancak TATT’nin PEV’in komponentlerinden biri olan metatarsus adduktus deformitesi üzerine olan etkisi hakkında yeterli literatür bilgisi bulunmamaktadır. Çalışmamızın amacı TATT’nin metatarsus adduktus deformitesi üzerine olan etkisini araştırmaktır. Yöntemler: Kliniğimiz dijital arşivinden faydalanılarak 2007- 2015 yılları arasında PEV tanısı ile TATT yapılan 11 hastanın 16 ayağı çalışmaya dahil edildi. Hastaların basarak çekilmiş olan ayak anteroposterior grafileri üzerinden operasyon öncesi ve sonrası talus-1. metatars açısı, talokalkaneal açı ve 4. metatars metafizyel açı ölçümler yapılararak metatarsus adduktus deformitesinin düzelme miktarı istatiksel olarak değerlendirildi. Bulgular: Ortalama 26±15 aylık takip sonrası tendon transferi cerrahisinden sonra talus-1. metatars açısı 18,8±1 dereceden 10,9±6 18,8±1 dereceye, talokalkaneal açı 22,5±8,6 dereceden 24,4±9,3 deceye, 4. metatars-metafizial açı ise 38±14 dereceden 27±11 dereceye geriledi. Talus-1. metatars açısı ve 4. metatars-metafizial açıda istatiktiksel olarak anlamlı radyolojik düzeltme gözlemlenirken (p

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Cite This Article

AKPINAR, E., BAYHAN, A. İ., KIRAT, A., DİNÇEL, Y. M., ÖZKUL, B., ÖZYALVAÇ, O. N. (2022). The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot. İstanbul Medical Journal, Cilt: 20 - Sayı: 1, 35–38. https://ajindex.com/articles/551992

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