Perimalleolar tendon transfer to the os calcis for triceps surae insufficiency in patients with postpolio syndrome
| Autor: | Morris Baumgarten, Paul E. DiCesare, Serena Young, Jacquelin Perry |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
musculoskeletal diseases
Adult medicine.medical_specialty medicine.medical_treatment Tendon Transfer Tendon transfer medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Foot deformity Gait Aged Retrospective Studies business.industry Foot Deformities Acquired Sequela General Medicine Middle Aged medicine.disease Tendon Surgery medicine.anatomical_structure Gait analysis Ambulatory Postpoliomyelitis Syndrome Ankle Range of motion business human activities Follow-Up Studies |
| Zdroj: | Clinical orthopaedics and related research. (310) |
| ISSN: | 0009-921X |
| Popis: | Twelve patients (14 feet) with the diagnosis of postpolio syndrome underwent patients-specific transfer of perimalleolar tendons to the os calcis for triceps surae insufficiency. One to 5 tendons were transferred, for a resulting mean muscle strength of Grade 3 at a mean followup of 2.7 years. At final followup, 7 patients were restudied with ankle plantar flexion torque measurements, range of motion, and gait analysis. Patients reported subjective improvements in endurance (86%), pain (90%), and ambulatory distance (50%). No progression of foot deformity was noted. Three of 5 patients became brace free. After tendon transfer, patients recorded increased ankle plantar flexion torque strength (80%) and an increase in 1 grade of muscle strength (29%). There was no significant change in gait velocity, stride length, or heeloff time between pre- and postoperative gait analysis. No tenodesis effect was observed. In conclusion, perimalleolar tendon transfers for triceps surae insufficiency in postpolio patients was effective in decreasing subjective complaints, arresting progressive foot deformity caused by muscle imbalance, and increasing plantar flexion strength, whereas the results of gait analysis failed to show significant improvement. |
| Databáze: | OpenAIRE |
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