%0 Journal Article
%T Functional, clinical, and radiological outcomes of split anterior tibial tendon transfers in patients with sequelae of congenital talipes equinovarus.
%A Boble M
%A Samargandi R
%J Eur J Orthop Surg Traumatol
%V 34
%N 5
%D 2024 Jul 21
%M 38772958
暂无%R 10.1007/s00590-024-03994-8
%X <B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.<BR><B>METHODS: </B>IV Retrospective study.