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Corresponding Author

Othman, Muhammad

Document Type

Original Article

Abstract

ABSTRACT Background: Congenital club foot currently treated by Ponseti technique with excellent long-term outcome. However relapsed deformity developed due to non compliance of bracing wear, evertor, and invertor imbalance. Objectives: Prospective study are the full ,and split tibialis anterior transfer can be correct relapsed club foot following Ponseti technique for idiopathic club foot . Patients ,and Methods: this study was planned to evaluate radiological and functional results of tibialis anterior tendon transfer for relapsed club foot deformity after Ponseti, in 16 patients with 20 feet ,the period of follow up was at least 6 months, The average age of the patients was 6 years, ranging from3 to 9 years, 14 of them were males,6 of them were females. Results: 20 feet with satisfactory results including 13 excellent cases and 7 good cases Thus satisfactory results were found in 20 patients (100%), ,and no unsatisfactory ones. In this study, although there was significant improvement of, anterior talo first metatarsal angle (TFMA1) ,and anterior talocalcaneal angle (Kite’s angle) (TCA1) there was no significant correlation between radiological ,and functional end results. Tibialis anterior transfer has to be effective procedure in relapsed deformity, range of motion of foot and muscle function of children. Conclusion: tibialis tendon transfer either total or split can effectively correct relapsed club foot after management by Ponseti technique. Keywords: club foot , relapsed club foot ,total or split tibialis anterior tendon transfer.

Keywords

Keywords: club foot; relapsed club foot; total or split tibialis anterior tendon transfer

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