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Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate / Chi-Chuan Wu in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate Type de document : texte imprimé Auteurs : Chi-Chuan Wu, Auteur ; Ching-Lung Tai, Auteur Année de publication : 2015 Article en page(s) : p. 147-154 Langues : Anglais (eng) Mots-clés : Drop foot Tibialis anterior Tibialis posterior Tendon transfer Résumé : An absolutely convincing technique of anterior transfer of the tibialis posterior (TP) tendon for treating drop foot has not been developed. Thirty-seven consecutive adult patients with drop foot owing to deep peroneal nerve injury were treated with bone-to-bone TP tendon transfer. The TP tendon with a small bony attachment was procured from the undersurface of the navicula and then transferred through a tunnel of the interosseous membrane. The navicular attachment was implanted in the tunnel of the navicula or intermediate cuneiform. Cancellous bone graft procured from the distal tibial metaphysis was packed into the tunnel inlet. Side-to-side tendon suturing was performed between the TP tendon and tibialis anterior tendon. Thirty-one patients were followed for a mean of 2.8 years (range, 1.2-4.8 years), and all achieved satisfactory outcome for the ankle. All patients achieved a normal gait after one year and at the latest follow-up. Conclusions : The described technique may provide a high success rate. This surgical technique is not complex, and complications are few. Permalink : ./index.php?lvl=notice_display&id=36011
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 147-154[article] Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate [texte imprimé] / Chi-Chuan Wu, Auteur ; Ching-Lung Tai, Auteur . - 2015 . - p. 147-154.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 147-154
Mots-clés : Drop foot Tibialis anterior Tibialis posterior Tendon transfer Résumé : An absolutely convincing technique of anterior transfer of the tibialis posterior (TP) tendon for treating drop foot has not been developed. Thirty-seven consecutive adult patients with drop foot owing to deep peroneal nerve injury were treated with bone-to-bone TP tendon transfer. The TP tendon with a small bony attachment was procured from the undersurface of the navicula and then transferred through a tunnel of the interosseous membrane. The navicular attachment was implanted in the tunnel of the navicula or intermediate cuneiform. Cancellous bone graft procured from the distal tibial metaphysis was packed into the tunnel inlet. Side-to-side tendon suturing was performed between the TP tendon and tibialis anterior tendon. Thirty-one patients were followed for a mean of 2.8 years (range, 1.2-4.8 years), and all achieved satisfactory outcome for the ankle. All patients achieved a normal gait after one year and at the latest follow-up. Conclusions : The described technique may provide a high success rate. This surgical technique is not complex, and complications are few. Permalink : ./index.php?lvl=notice_display&id=36011 Exemplaires (1)
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Exclu du prêtNeglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon / Haijiao MAO in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon Type de document : texte imprimé Auteurs : Haijiao MAO, Auteur ; Zengyuan SHI, Auteur ; Dachuan XU, Auteur Année de publication : 2015 Article en page(s) : p.553-560 Langues : Anglais (eng) Mots-clés : Foot ankle achilles tenson surgery tendon transfer Résumé : Neglected Achilles Tendon Ruptures are commonly seen by orthopaedic surgeons. In cases resistant to conservative treatment, a variety of surgical procedures have been utilized in the past. The senior surgeon at our institution has utilized a technique employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus and plantaris tendon. The purpose of this study was to assess the clinical outcome of all patients who underwent this procedure.
The medical records of 10 cases that underwent this procedure were retrospectively reviewed. We completed data collection sets using the American Orthopaedic Foot and Ankle Society ankle-hind foot scores, isokinetic evaluation, and postoperative magnetic resonance imaging (MRI) at 1 year of follow-up. The mean American Orthopaedic Foot and Ankle Society ankle-hind foot scores improved from 64.4 ± 3.54.
Isokinetic testing at 30º/sec and 120º/sec revealed an mean deficits of 24.5%, respectively, in the plantar flexion peak torque of the involved ankle than noninvolved ankle. The flexor hallucis longus tendon, gastrocnemius fascia flap and plantaris were well integrated into the Achilles tendon forming a homogenous tendon, which was confirmed in MRI. Our subjective and objective data indicate that the reconstructive technique using flexor hallucis longus transfer with two turndown gastrocnemius fascia flaps and plantaris tendon is a good option for repairing large gap defect of Achilles tendon.Permalink : ./index.php?lvl=notice_display&id=40933
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.553-560[article] Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon [texte imprimé] / Haijiao MAO, Auteur ; Zengyuan SHI, Auteur ; Dachuan XU, Auteur . - 2015 . - p.553-560.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.553-560
Mots-clés : Foot ankle achilles tenson surgery tendon transfer Résumé : Neglected Achilles Tendon Ruptures are commonly seen by orthopaedic surgeons. In cases resistant to conservative treatment, a variety of surgical procedures have been utilized in the past. The senior surgeon at our institution has utilized a technique employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus and plantaris tendon. The purpose of this study was to assess the clinical outcome of all patients who underwent this procedure.
The medical records of 10 cases that underwent this procedure were retrospectively reviewed. We completed data collection sets using the American Orthopaedic Foot and Ankle Society ankle-hind foot scores, isokinetic evaluation, and postoperative magnetic resonance imaging (MRI) at 1 year of follow-up. The mean American Orthopaedic Foot and Ankle Society ankle-hind foot scores improved from 64.4 ± 3.54.
Isokinetic testing at 30º/sec and 120º/sec revealed an mean deficits of 24.5%, respectively, in the plantar flexion peak torque of the involved ankle than noninvolved ankle. The flexor hallucis longus tendon, gastrocnemius fascia flap and plantaris were well integrated into the Achilles tendon forming a homogenous tendon, which was confirmed in MRI. Our subjective and objective data indicate that the reconstructive technique using flexor hallucis longus transfer with two turndown gastrocnemius fascia flaps and plantaris tendon is a good option for repairing large gap defect of Achilles tendon.Permalink : ./index.php?lvl=notice_display&id=40933 Exemplaires (1)
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Exclu du prêtReorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers / A. Sarcher in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)
[article]
Titre : Reorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers Type de document : texte imprimé Auteurs : A. Sarcher ; Brigitte Perrouin-Verbe ; Sophie Touchais ; Guillaume Gadbled ; Matthieu Gahier ; Sylvain Brochard ; François Hug ; Raphaël Gross Année de publication : 2019 Article en page(s) : p. 128-131 Note générale : https://doi.org/10.1016/j.rehab.2018.09.008 Langues : Anglais (eng) Mots-clés : Elbow extension Electromyography Muscle synergy Non-negative matrix factorization Spinal cord injury Tendon transfer Résumé : ndividuals with spinal cord injury (SCI) at the C5 or C6 level will have paralysis of the triceps brachii muscle. Elbow extension can be surgically restored by transferring the tendon of a functioning muscle onto the tendon of the paralyzed triceps brachii. The most frequently transferred tendon [1] is the posterior deltoid tendon [2]. However, if the clavicular head of the pectoralis major muscle is weak, this can create a muscle imbalance around the shoulder girdle [3]. In that case, transferring the biceps brachii tendon is recommended [4]. The success of this intervention relies on the ability of the patient to dissociate the drive between the transferred biceps brachii and the other elbow flexor muscles [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314726 Permalink : ./index.php?lvl=notice_display&id=84107
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 128-131[article] Reorganization of muscle synergies in 2 individuals with C5 and C6 tetraplegia after biceps-triceps and posterior deltoid-triceps tendon transfers [texte imprimé] / A. Sarcher ; Brigitte Perrouin-Verbe ; Sophie Touchais ; Guillaume Gadbled ; Matthieu Gahier ; Sylvain Brochard ; François Hug ; Raphaël Gross . - 2019 . - p. 128-131.
https://doi.org/10.1016/j.rehab.2018.09.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 128-131
Mots-clés : Elbow extension Electromyography Muscle synergy Non-negative matrix factorization Spinal cord injury Tendon transfer Résumé : ndividuals with spinal cord injury (SCI) at the C5 or C6 level will have paralysis of the triceps brachii muscle. Elbow extension can be surgically restored by transferring the tendon of a functioning muscle onto the tendon of the paralyzed triceps brachii. The most frequently transferred tendon [1] is the posterior deltoid tendon [2]. However, if the clavicular head of the pectoralis major muscle is weak, this can create a muscle imbalance around the shoulder girdle [3]. In that case, transferring the biceps brachii tendon is recommended [4]. The success of this intervention relies on the ability of the patient to dissociate the drive between the transferred biceps brachii and the other elbow flexor muscles [1]. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314726 Permalink : ./index.php?lvl=notice_display&id=84107 Exemplaires (1)
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Exclu du prêtOrthopaedic surgery for patients with central nervous system lesions: Concepts and techniques / F. Genêt in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)
[article]
Titre : Orthopaedic surgery for patients with central nervous system lesions: Concepts and techniques Type de document : texte imprimé Auteurs : F. Genêt ; Philippe Denormandie ; M.A. Keenan Année de publication : 2019 Article en page(s) : p. 225-233 Note générale : https://doi.org/10.1016/j.rehab.2018.09.004 Langues : Anglais (eng) Mots-clés : Orthopaedic surgery Spasticity Neurotimy Neurectomy Hyponeurotization Tendon lengthening Tendon transfer Arthrodesis Heterotopic ossification Résumé : Since ancient times, the aim of orthopedic surgery has been to correct limb and joint deformities, including those resulting from central nervous system lesions. Recent developments in the treatment of spasticity have led to changes in concepts and management strategies. The increase in life expectancy has increased the functional needs of patients. Orthopedic surgery, along with treatments for spasticity, improves the functional capacity of patients with neuro-orthopaedic disorders, improving their autonomy. In this paper, we describe key moments in the history of orthopedic surgery regarding the treatment of patients with central nervous system lesions, from poliomyelitis to stroke-related hemiplegia, from the limbs to the spine, and from contractures to heterotopic ossification. A synthesis of the current surgical techniques is then provided, and the importance of multidisciplinary evaluation and management is highlighted, along with indications for medical, rehabilitation and surgical treatments and their combinations. We explain why it is essential to consider patients’ expectations and to set achievable goals, particularly before surgery, which is by nature irreversible. More recently, specialized surgical teams have begun to favor the use of soft-tissue techniques over bony and joint procedures, except for spinal disorders. We highlight that orthopedic surgery is no longer the end-point of treatment. For example, lengthening a contractured muscle improves the balance around a joint, improving mobility and stability but may be only part of the problem. Further medical treatment and rehabilitation, or additional surgery, are often necessary to continue to improve the function of the limb. Despite the recognized effectiveness of orthopedic surgery for neuro-orthopedic disorders, few studies have formally evaluated them. Hence, there is a need for research to provide evidence to support orthopedic surgery for treating neuro-orthopedic disorders. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314507 Permalink : ./index.php?lvl=notice_display&id=84127
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 225-233[article] Orthopaedic surgery for patients with central nervous system lesions: Concepts and techniques [texte imprimé] / F. Genêt ; Philippe Denormandie ; M.A. Keenan . - 2019 . - p. 225-233.
https://doi.org/10.1016/j.rehab.2018.09.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 225-233
Mots-clés : Orthopaedic surgery Spasticity Neurotimy Neurectomy Hyponeurotization Tendon lengthening Tendon transfer Arthrodesis Heterotopic ossification Résumé : Since ancient times, the aim of orthopedic surgery has been to correct limb and joint deformities, including those resulting from central nervous system lesions. Recent developments in the treatment of spasticity have led to changes in concepts and management strategies. The increase in life expectancy has increased the functional needs of patients. Orthopedic surgery, along with treatments for spasticity, improves the functional capacity of patients with neuro-orthopaedic disorders, improving their autonomy. In this paper, we describe key moments in the history of orthopedic surgery regarding the treatment of patients with central nervous system lesions, from poliomyelitis to stroke-related hemiplegia, from the limbs to the spine, and from contractures to heterotopic ossification. A synthesis of the current surgical techniques is then provided, and the importance of multidisciplinary evaluation and management is highlighted, along with indications for medical, rehabilitation and surgical treatments and their combinations. We explain why it is essential to consider patients’ expectations and to set achievable goals, particularly before surgery, which is by nature irreversible. More recently, specialized surgical teams have begun to favor the use of soft-tissue techniques over bony and joint procedures, except for spinal disorders. We highlight that orthopedic surgery is no longer the end-point of treatment. For example, lengthening a contractured muscle improves the balance around a joint, improving mobility and stability but may be only part of the problem. Further medical treatment and rehabilitation, or additional surgery, are often necessary to continue to improve the function of the limb. Despite the recognized effectiveness of orthopedic surgery for neuro-orthopedic disorders, few studies have formally evaluated them. Hence, there is a need for research to provide evidence to support orthopedic surgery for treating neuro-orthopedic disorders. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314507 Permalink : ./index.php?lvl=notice_display&id=84127 Exemplaires (1)
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