Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior

S. Carda, F. Molteni, M. Bertoni, P. Zerbinati, M. Invernizzi, C. Cisari

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

This study assessed if transfer of the extensor hallucis longus is a valid alternative treatment to split transfer of the tibialis anterior tendon in adult hemiplegic patients without overactivity of the tibialis anterior. One group of 15 patients had overactivity of tibialis anterior in the swing phase, and underwent the split transfer. A further group of 14 patients had no overactivity of tibialis anterior, and underwent transfer of extensor hallucis longus. All patients had lengthening of the tendo Achillis and tenotomies of the toe flexors. All were evaluated clinically and by three-dimensional gait analysis pre- and at one year after surgery. At this time both groups showed significant reduction of disability in walking. Gait speed, stride length and paretic propulsion had improved significantly in both groups. Dorsiflexion in the swing phase, the step length of the healthy limb and the step width improved in both groups, but only reached statistical significance in the patients with transfer of the extensor hallucis longus. There were no differences between the groups at one year after operation. When combined with lengthening of the tendo Achillis, transfer of the extensor hallucis longus can be a valid alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot deformity in patients without overactivity of tibialis anterior.

Original languageEnglish
Pages (from-to)1262-1266
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume92
Issue number9
DOIs
Publication statusPublished - 2010

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Clubfoot
Tendons
Foot
Tenotomy
Foot Deformities
Patient Transfer
Toes
Gait
Walking
Extremities

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior. / Carda, S.; Molteni, F.; Bertoni, M.; Zerbinati, P.; Invernizzi, M.; Cisari, C.

In: Journal of Bone and Joint Surgery - Series B, Vol. 92, No. 9, 2010, p. 1262-1266.

Research output: Contribution to journalArticle

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