Abstract：
OBJECTIVE: This retrospective analysis aimed to assess the effectiveness of Split Tibialis Anterior Tendon Transfer (Split TATT) in treating residual idiopathic congenital talipes equinovarus (CTEV) deformities.
METHODS: 15 patients (20 feet) with CTEV, with a mean age of 6.4 ± 3.2 years, initially treated with Ponseti casting, underwent Split TATT. Clinical and radiological evaluations, including Diméglio and Garceau scores, dorsiflexion, and X-ray measurements, were conducted preoperatively and post-operatively at a minimum 2-year follow-up.
RESULTS: Significant improvements were observed in Diméglio and Garceau scores. Dorsiflexion increased by an average of 3°, and radiological analysis revealed nuanced changes. Despite a weak Kappa coefficient, positive trends in dorsiflexion and Garceau scores were noted. Preoperative Garceau scores did not reliably predict postoperative results.
CONCLUSIONS: Split TATT demonstrates promising results in improving muscular balance and functional outcomes in CTEV. While radiological changes are subtle, positive trends in clinical scores indicate meaningful outcomes.
METHODS: IV Retrospective study.
METHODS: 15 patients (20 feet) with CTEV, with a mean age of 6.4 ± 3.2 years, initially treated with Ponseti casting, underwent Split TATT. Clinical and radiological evaluations, including Diméglio and Garceau scores, dorsiflexion, and X-ray measurements, were conducted preoperatively and post-operatively at a minimum 2-year follow-up.
RESULTS: Significant improvements were observed in Diméglio and Garceau scores. Dorsiflexion increased by an average of 3°, and radiological analysis revealed nuanced changes. Despite a weak Kappa coefficient, positive trends in dorsiflexion and Garceau scores were noted. Preoperative Garceau scores did not reliably predict postoperative results.
CONCLUSIONS: Split TATT demonstrates promising results in improving muscular balance and functional outcomes in CTEV. While radiological changes are subtle, positive trends in clinical scores indicate meaningful outcomes.
METHODS: IV Retrospective study.
摘要：
目的：本回顾性分析旨在评估胫骨前肌腱分裂术（SplitTATT）治疗残余特发性先天性马蹄内翻足（CTEV）畸形的有效性。
方法：15例（20英尺）CTEV患者，平均年龄为6.4±3.2岁，最初用Ponseti铸造处理，接受了SplitTATT。临床和放射学评估，包括Diéglio和Garceau的分数,背屈,和X射线测量，术前和术后进行至少2年的随访。
结果：在Dimeglio和Garceau评分中观察到了显着改善。背屈平均增加3°，放射学分析显示出细微的变化。尽管Kappa系数很弱,观察到背屈和Garceau评分呈正趋势.术前Garceau评分不能可靠地预测术后结果。
结论：SplitTATT在改善CTEV的肌肉平衡和功能结局方面显示出有希望的结果。虽然放射学变化很微妙，临床评分的阳性趋势表明有意义的结局.
方法：IV回顾性研究。
方法：15例（20英尺）CTEV患者，平均年龄为6.4±3.2岁，最初用Ponseti铸造处理，接受了SplitTATT。临床和放射学评估，包括Diéglio和Garceau的分数,背屈,和X射线测量，术前和术后进行至少2年的随访。
结果：在Dimeglio和Garceau评分中观察到了显着改善。背屈平均增加3°，放射学分析显示出细微的变化。尽管Kappa系数很弱,观察到背屈和Garceau评分呈正趋势.术前Garceau评分不能可靠地预测术后结果。
结论：SplitTATT在改善CTEV的肌肉平衡和功能结局方面显示出有希望的结果。虽然放射学变化很微妙，临床评分的阳性趋势表明有意义的结局.
方法：IV回顾性研究。
