Abstract

Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1]. Despite good initial correction with the Ponseti technique, a tibialis anterior tendon transfer (TATT) is required in 20-25% of cases to correct residual dynamic supination observed during gait. Currently, no reliable or valid biomechanical measures exist to assess the need for, or effectiveness of, surgery.

Highlights

  • Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1]

  • Pressure-time integral was significantly higher in tibialis anterior tendon transfer (TATT) group for medial and lateral hindfoot (p=0.027; p=0.010) and lateral midfoot (p=0.034)

  • Children with CTEV who require a TATT display objective measureable differences compared to a nonsurgical CTEV group

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Summary

Introduction

Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1]. Biomechanical assessment of children requiring tibialis anterior surgical tendon transfer for residual congenital talipes equinovarus From 3rd Congress of the International Foot and Ankle Biomechanics Community Sydney, Australia. Introduction Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1].

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