Cadena PAL, Ríos RJG, Rivera CCA

Language: Spanish
References: 16
Page: 17-21
PDF size: 179.53 Kb.

ABSTRACT

Introduction: congenital clubfoot is one of the most common pathologies in pediatric orthopedics treated with Ponseti method. If dynamic supination persists, must be treated with an anterior tibial tendon transfer. The objective of the study is to demonstrate that by performing the transfer of the anterior tibial and its fixation without using a button in the plantar fascia in patients with congenital clubfoot, postsurgical complications are low, muscular strength is maintained and dynamic supination is corrected. Material and methods: in a retrospective study, patients diagnosed with congenital clubfoot who had undergone anterior tibial tendon transfer. During a period from January 2010 to December 2018. The groups were further divided into patients with fixation of the anterior tibial tendon to the plantar fascia and those whose anterior tibial was fixed using a gauze button at the bottom of the feet. Results: the sample comprised 452 patients. The mean age at the time of surgery was 5.75 years. A total of 527 operated feet. No button surgery was performed in 189 feet, while button surgery was performed in 338 feet. We observed that muscle strength in the anterior tibial remained 5/5 on the Daniels scale in both groups. No significant variations were found with respect to strength during the follow-up period. Complications in the skin occurred in 14 feet, all of them caused using gauze button at the bottom of the feet. Conclusions: we concluded that the fixation of the anterior tibial tendon at the level of the plantar fascia is an effective procedure. The correction and muscle strength are not affected, and patients experience no delays in gait incorporation due to complications. This is a surgical option, which it will prevent possible complications such as plantar injuries, abscesses or pain in the plantar surface of the foot.

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EVIDENCE LEVEL

III