Pedobarographic changes in Ponseti-treated clubfeet with and without anterior tibialis tendon transfer: Changes due to growth and surgical intervention

Juanita Wallace, Hank White, Jing Xi, Richard Kryscio, Sam Augsburger, Todd Milbrandt, Vishwas Talwalkar, Henry Iwinski, Janet Walker

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

The aim of this study was to identify significant changes in pedobarographic parameters attributed to growth versus growth and surgical intervention for uninvolved feet, clubfeet (CF) subjected to anterior tibialis tendon transfer surgery, and unilateral nonsurgical CF. Participants underwent foot-pressure analysis preoperatively and 3 years postoperatively. Six parameters related to the lateral midfoot showed increases for uninvolved and nonsurgical CF, whereas CF subjected to surgery decreased. Transferring the anterior tibialis tendon resulted in improvements beyond typical growth and in a more balanced foot postoperatively. These changes are not simply changes in the peak pressure, but changes in force/pressure over time in the lateral foot.

Original languageEnglish
Pages (from-to)89-95
Number of pages7
JournalJournal of Pediatric Orthopaedics Part B
Volume25
Issue number2
DOIs
StatePublished - 2016

Bibliographical note

Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc.

Keywords

  • anterior tibialis tendon transfer
  • changes
  • clubfeet
  • pedobarography
  • surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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