Tendon Transfer: Surgical procedure by which a tendon is incised at its insertion and placed at an anatomical site distant from the original insertion. The tendon remains attached at the point of origin and takes over the function of a muscle inactivated by trauma or disease.Tendons: Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.Tendon Injuries: Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures.Achilles Tendon: A fibrous cord that connects the muscles in the back of the calf to the HEEL BONE.Tenotomy: Surgical division of a tendon for relief of a deformity that is caused by congenital or acquired shortening of a muscle (Stedman, 27th ed). Tenotomy is performed in order to lengthen a muscle that has developed improperly, or become shortened and is resistant to stretching.Foot Injuries: General or unspecified injuries involving the foot.Brachial Plexus Neuropathies: Diseases of the cervical (and first thoracic) roots, nerve trunks, cords, and peripheral nerve components of the BRACHIAL PLEXUS. Clinical manifestations include regional pain, PARESTHESIA; MUSCLE WEAKNESS, and decreased sensation (HYPESTHESIA) in the upper extremity. These disorders may be associated with trauma (including BIRTH INJURIES); THORACIC OUTLET SYNDROME; NEOPLASMS; NEURITIS; RADIOTHERAPY; and other conditions. (From Adams et al., Principles of Neurology, 6th ed, pp1351-2)Clubfoot: A deformed foot in which the foot is plantarflexed, inverted and adducted.Paralysis, Obstetric: Paralysis of an infant resulting from injury received at birth. (From Dorland, 27th ed)Suture Anchors: Implants used in arthroscopic surgery and other orthopedic procedures to attach soft tissue to bone. One end of a suture is tied to soft tissue and the other end to the implant. The anchors are made of a variety of materials including titanium, stainless steel, or absorbable polymers.Carpus, Animal: The region corresponding to the human WRIST in non-human ANIMALS.Carpal Joints: The articulations between the various CARPAL BONES. This does not include the WRIST JOINT which consists of the articulations between the RADIUS; ULNA; and proximal CARPAL BONES.Median Neuropathy: Disease involving the median nerve, from its origin at the BRACHIAL PLEXUS to its termination in the hand. Clinical features include weakness of wrist and finger flexion, forearm pronation, thenar abduction, and loss of sensation over the lateral palm, first three fingers, and radial half of the ring finger. Common sites of injury include the elbow, where the nerve passes through the two heads of the pronator teres muscle (pronator syndrome) and in the carpal tunnel (CARPAL TUNNEL SYNDROME).Rotator Cuff: The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.Equinus Deformity: Plantar declination of the foot.Rupture: Forcible or traumatic tear or break of an organ or other soft part of the body.Thumb: The first digit on the radial side of the hand which in humans lies opposite the other four.Range of Motion, Articular: The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.Peroneal Neuropathies: Disease involving the common PERONEAL NERVE or its branches, the deep and superficial peroneal nerves. Lesions of the deep peroneal nerve are associated with PARALYSIS of dorsiflexion of the ankle and toes and loss of sensation from the web space between the first and second toe. Lesions of the superficial peroneal nerve result in weakness or paralysis of the peroneal muscles (which evert the foot) and loss of sensation over the dorsal and lateral surface of the leg. Traumatic injury to the common peroneal nerve near the head of the FIBULA is a relatively common cause of this condition. (From Joynt, Clinical Neurology, 1995, Ch51, p31)Casts, Surgical: Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.Paralysis: A general term most often used to describe severe or complete loss of muscle strength due to motor system disease from the level of the cerebral cortex to the muscle fiber. This term may also occasionally refer to a loss of sensory function. (From Adams et al., Principles of Neurology, 6th ed, p45)Shoulder Joint: The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.Ankle Joint: The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.Brachial Plexus: The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.Patellar Ligament: A band of fibrous tissue that attaches the apex of the PATELLA to the lower part of the tubercle of the TIBIA. The ligament is actually the caudal continuation of the common tendon of the QUADRICEPS FEMORIS. The patella is embedded in that tendon. As such, the patellar ligament can be thought of as connecting the quadriceps femoris tendon to the tibia, and therefore it is sometimes called the patellar tendon.Biomechanical Phenomena: The properties, processes, and behavior of biological systems under the action of mechanical forces.Tendinopathy: Clinical syndrome describing overuse tendon injuries characterized by a combination of PAIN, diffuse or localized swelling, and impaired performance. Distinguishing tendinosis from tendinitis is clinically difficult and can be made only after histopathological examination.Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Hand: The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb.Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Gene Transfer Techniques: The introduction of functional (usually cloned) GENES into cells. A variety of techniques and naturally occurring processes are used for the gene transfer such as cell hybridization, LIPOSOMES or microcell-mediated gene transfer, ELECTROPORATION, chromosome-mediated gene transfer, TRANSFECTION, and GENETIC TRANSDUCTION. Gene transfer may result in genetically transformed cells and individual organisms.Muscle, Skeletal: A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Embryo Transfer: The transfer of mammalian embryos from an in vivo or in vitro environment to a suitable host to improve pregnancy or gestational outcome in human or animal. In human fertility treatment programs, preimplantation embryos ranging from the 4-cell stage to the blastocyst stage are transferred to the uterine cavity between 3-5 days after FERTILIZATION IN VITRO.Gene Transfer, Horizontal: The naturally occurring transmission of genetic information between organisms, related or unrelated, circumventing parent-to-offspring transmission. Horizontal gene transfer may occur via a variety of naturally occurring processes such as GENETIC CONJUGATION; GENETIC TRANSDUCTION; and TRANSFECTION. It may result in a change of the recipient organism's genetic composition (TRANSFORMATION, GENETIC).Foot Deformities: Alterations or deviations from normal shape or size which result in a disfigurement of the foot.Acromion: The lateral extension of the spine of the SCAPULA and the highest point of the SHOULDER.Orthopedics: A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.Reward: An object or a situation that can serve to reinforce a response, to satisfy a motive, or to afford pleasure.Posterior Tibial Tendon Dysfunction: A condition characterized by a broad range of progressive disorders ranging from TENOSYNOVITIS to tendon rupture with or without hindfoot collapse to a fixed, rigid, FLATFOOT deformity. Pathologic changes can involve associated tendons, ligaments, joint structures of the ANKLE, hindfoot, and midfoot. Posterior tibial tendon dysfunction is the most common cause of acquired flatfoot deformity in adults.Meningomyelocele: Congenital, or rarely acquired, herniation of meningeal and spinal cord tissue through a bony defect in the vertebral column. The majority of these defects occur in the lumbosacral region. Clinical features include PARAPLEGIA, loss of sensation in the lower body, and incontinence. This condition may be associated with the ARNOLD-CHIARI MALFORMATION and HYDROCEPHALUS. (From Joynt, Clinical Neurology, 1992, Ch55, pp35-6)Flatfoot: A condition in which one or more of the arches of the foot have flattened out.Foot Deformities, Acquired: Distortion or disfigurement of the foot, or a part of the foot, acquired through disease or injury after birth.Friedreich Ataxia: An autosomal recessive disease, usually of childhood onset, characterized pathologically by degeneration of the spinocerebellar tracts, posterior columns, and to a lesser extent the corticospinal tracts. Clinical manifestations include GAIT ATAXIA, pes cavus, speech impairment, lateral curvature of spine, rhythmic head tremor, kyphoscoliosis, congestive heart failure (secondary to a cardiomyopathy), and lower extremity weakness. Most forms of this condition are associated with a mutation in a gene on chromosome 9, at band q13, which codes for the mitochondrial protein frataxin. (From Adams et al., Principles of Neurology, 6th ed, p1081; N Engl J Med 1996 Oct 17;335(16):1169-75) The severity of Friedreich ataxia associated with expansion of GAA repeats in the first intron of the frataxin gene correlates with the number of trinucleotide repeats. (From Durr et al, N Engl J Med 1996 Oct 17;335(16):1169-75)Anterior Cruciate Ligament: A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia.Anterior Cruciate Ligament Reconstruction: Rebuilding of the ANTERIOR CRUCIATE LIGAMENT to restore functional stability of the knee. AUTOGRAFTING or ALLOGRAFTING of tissues is often used.Knee Injuries: Injuries to the knee or the knee joint.Transplantation, Autologous: Transplantation of an individual's own tissue from one site to another site.Lateral Ligament, Ankle: LATERAL LIGAMENTS of the ANKLE JOINT. It includes inferior tibiofibular ligaments.Sesamoid Bones: Nodular bones which lie within a tendon and slide over another bony surface. The PATELLA (kneecap) is a sesamoid bone.Arthrodesis: The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)Subtalar Joint: Formed by the articulation of the talus with the calcaneus.Talus: The second largest of the TARSAL BONES. It articulates with the TIBIA and FIBULA to form the ANKLE JOINT.
Effects of aggressive early rehabilitation on the outcome of anterior cruciate ligament reconstruction with multi-strand semitendinosus tendon. (1/175)
To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar tendon with bony attachments (BTB) were analyzed prospectively. Subjectively, the Lysholm score was not different among the groups. The Lachman test indicated a trend of less negative grade in the ST men's group than that in the BTB men's group. On the patellofemoral grinding test, only women patients of both groups showed pain, with less positive crepitation in the ST group than in the BTB group. KT measurements at manual maximum showed more patients with more than 5 mm differences in the ST group than in the BTB group. The results of this study suggest that aggressive early rehabilitation after the ACL reconstruction using the semitendinosus (and gracilis) tendon has more risk of residual laxity than with the BTB. (+info)Function after correction of a clawed great toe by a modified Robert Jones transfer. (2/175)
We carried out a cross-sectional study in 51 patients (81 feet) with a clawed hallux in association with a cavus foot after a modified Robert Jones tendon transfer. The mean follow-up was 42 months (9 to 88). In all feet, concomitant procedures had been undertaken, such as extension osteotomy of the first metatarsal and transfer of the tendon of the peroneus longus to peroneus brevis, to correct the underlying foot deformity. All patients were evaluated clinically and radiologically. The overall rate of patient satisfaction was 86%. The deformity of the hallux was corrected in 80 feet. Catching of the big toe when walking barefoot, transfer lesions and metatarsalgia, hallux flexus, hallux limitus and asymptomatic nonunion of the interphalangeal joint were the most frequent complications. Hallux limitus was more likely when elevation of the first ray occurred (p = 0.012). Additional transfer of the tendon of peroneus longus to peroneus brevis was a significant risk factor for elevation of the first metatarsal (p < 0.0001). The deforming force of extensor hallucis longus is effectively eliminated by the Jones transfer, but the mechanics of the first metatarsophalangeal joint are altered. The muscle balance and stability of the entire first ray should be taken into consideration in the management of clawed hallux. (+info)Restoration of elbow flexion by modified Steindler flexorplasty. (3/175)
A modified Steindler flexorplasty was used to restore elbow flexion in 8 patients with post-traumatic flail elbow. In 5 patients there was associated loss of wrist and finger extension, which was treated by tendon transfer and in 2 patients an associated flail shoulder was treated by arthrodesis. The results were not compromised in patients whose flexor tendons had been transferred for wrist and finger extension. All patients had a stable and mobile elbow with marked improvement of upper limb function. Modified Steindler flexorplasty is a simple, effective and reliable procedure for the restoration of elbow flexion. (+info)The Ilizarov method in the management of relapsed club feet. (4/175)
We present the results of the management of 17 relapsed club feet in 12 children using the Ilizarov method with gradual distraction and realignment of the joint. Review at a mean of three years after surgery showed maintenance of correction with excellent or good results in 13 feet. Five mobile feet which had been treated by a split transfer of the tibialis anterior tendon two weeks after removal of the frame had an excellent result. (+info)Posterior psoas transfer and hip instability in lumbar myelomeningocele. (5/175)
Seventy-two posterior psoas transfer operations performed in forty-four children with lumbar myelomeningocele were reviewed one to eight years after operation in an attempt to assess its value. Muscle charting, an objective recording of the child's walking ability, and radiographic examination of the hips were done. Hip stability was improved: 49 per cent were stable at the time of psoas transfer and 94 per cent at review. Functional results depend mainly on the level of neurological activity present: 57 per cent of the children had an acceptable functional result. Usually, posterior psoas transfer should be done as soon after the age of nine months as the child's condition will allow. Over the age of two years it should be restricted to children with activity in the third and fourth segments of the lumbar cord. (+info)Selective release of the flexor origin with transfer of flexor carpi ulnaris in cerebral palsy. (6/175)
Transfer of flexor carpi ulnaris combined with selective release of the flexor pronator origin was undertaken in 35 patients with hemiplegic cerebral palsy for a pronation flexion deformity of the forearm, hand and wrist. The patients were divided into four groups depending on the severity of the deformity, the surgical procedure recommended, potential hand function and prognosis. The procedure reduces the power of wrist and finger flexion by release of the flexor pronator origin, and reinforces the strength of extension and supination of the wrist by transfer of flexor carpi ulnaris. After a mean follow-up of four years the appearance of the hand and forearm improved in all patients. None lost movement and all gained improved mobility of the forearm, wrist and hand. There was no overcorrection. (+info)Tendon transfers to improve grasp in patients with cervical spinal cord injury. (7/175)
Patients with cervical spinal cord injury can gain useful hand function from a good rehabilitation programme and non-operative hand care. Effective prehension can usually be achieved by proper positioning, exercises, and splinting but when grasp is poor, tendon transfers are very effective in furthering the goal of independence. These patients have been reviewed extensively and classified into groups according to remaining neurological function. Group I patients have weak elbow flexion and weak shoulder function or less. No tendon transfers were done. Group II patients have shoulder control, elbow flexion and weak wrist extensors. Some of these patients can be improved by transferring the brachioradialis to the radial wrist extensor. Group III patients have the above and good to normal brachioradialis and two radial wrist extensors. Transferring the brachioradialis to restore opposition and the extensor carpi radialis longus to the flexor digitorum profundi provides strong and effective prehension. Group IV patients have the above plus pronator teres and flexor carpi radialis which can be used for transfer. Opposition and finger flexion can be restored by a variety of transfers. In groups III and IV tendon transfers were done only when automatic grasp was poor or absent. If finger grasp was good and thumb function ineffective only opponens transfers were done in order to achieve key pinch. Group V patients have all muscles functioning but with varying degrees of intrinsic weakness. Opponens transfer is useful for these patients. Indications and contraindications to surgery are given. All the patients have improved function and strength following their tendon transfers. No patient has regretted having had surgery. (+info)Long-term results of tibialis posterior tendon transfer for drop-foot. (8/175)
Twelve patients with drop-foot secondary to sciatic or common peroneal nerve palsy treated with transfer of the tibialis posterior tendon were followed-up for a mean of 90 (24-300) months. In 10 patients the results were 'excellent' or 'good'. In 11 patients grade 4 or 5 power of dorsiflexion was achieved, although the torque, as measured with a Cybex II dynamometer, and generated by the transferred tendon, was only about 30% of the normal side. Seven patients were able to dorsiflex their foot to the neutral position and beyond. The results appeared to be better in men under 30 years of age with common peroneal palsies. A painful flatfoot acquired in adulthood does not appear to be a significant long-term complication despite the loss of a functioning tibialis posterior tendon. (+info)
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RuptureFlexorSubscapularis tendonTearsIrreparableSurgeryPosteriorGraftRupturesLatissimus dorsi transferReconstructionHammertoeInsertionMusclesSalvageRepairResultsOutcomeHandRupturesReconstructionSurgeryProcedureRotatorSurgeonsDeformityPosterior tibial tendon dysfunctionTibialisMuscles and tendonsShoulderThickest tendon in the humaInjuriesGraftUpper ExtremityDistalLatissimusTenodesisMedianAnother tendonExtensor Tendon TransfersLower trapezius tendonTissuesRupture of the tendon transferSurgeonRestore functionLigamentUnderwentWristDonorAnteriorFlexor digitorum supPeroneusTearGrafts
Rupture5
- Ellison P, Mason LW, Molloy A. Chronic Achilles tendon rupture reconstructed using hamstring tendon autograft. (springer.com)
- García-Germán D, Rubio-Quevedo R, Lopez-Goenaga J, Martin-Guinea J. Achilles tendon recurrent rupture following surgical repair: Report on two cases. (springer.com)
- Semitendinosus Tendon Augmentation for a Large Defect after Achilles Tendon Rupture: Two Case Reports. (springer.com)
- Pajala A, Kangas J, Ohtonen P, Leppilahti J. Rerupture and deep infection following treatment of total Achilles tendon rupture. (springer.com)
- Rupture of the Posterior Tibial Tendon. (semanticscholar.org)
Flexor1
- Gonçalves S, Caetano R, Corte-Real N. Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique. (springer.com)
Subscapularis tendon1
- The potential for postbiopsy hemorrhage me kill can viagra and edema of the subscapularis tendon tears of the. (sacredwaters.net)
Tears4
- Maffulli N, Longo UG, Gougoulias N, Denaro V. Ipsilateral free semitendinosus tendon graft transfer for reconstruction of chronic tears of the Achilles tendon. (springer.com)
- Latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears. (semanticscholar.org)
- Latissimus dorsi tendon transfer: a comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. (semanticscholar.org)
- Function is usually unknown but is most easily identied as the near degrees of elevation, emg activity in the and blend together to form its apex, a point of the curve, however, depends on the clavicle a long thin tendon such as tears of the. (goodsamatlanta.org)
Irreparable3
- You could add Tendon transfer for irreparable cuff tear to a list if you log in . (openlibrary.org)
- Are you sure you want to remove Tendon transfer for irreparable cuff tear from your list? (openlibrary.org)
- Biomechanical effect of latissimus dorsi tendon transfer for irreparable massive cuff tear. (semanticscholar.org)
Surgery3
- 1). Wait throughout the entire rehabilitation period before requesting a second tendon transfer surgery unless the defect is manifest from the beginning. (itags.org)
- 2). Consult with your surgeon about the feasibility of undergoing another tendon transfer surgery, weighing the risks against the benefits. (itags.org)
- Doctors often will have varying opinions on the feasibility of any particular operation, so having multiple consultations can increase your likelihood of finding someone that is willing to redo your tendon transfer surgery. (itags.org)
Posterior9
- Prospective Randomized Controlled Trial Comparing Extramembranous and Interosseous Technique of Tibialis Posterior Tendon Transfer. (clinicaltrials.gov)
- Anterior transposition of Posterior tibialis tendon (PTT) is the gold standard for surgical restoration of functional dorsiflexion of a permanently paralyzed foot (1, 4-10). (clinicaltrials.gov)
- Two methods of rerouting the posterior tibialis tendon have been reported, one through the interosseous membrane i.e. (clinicaltrials.gov)
- There is a clinical equipoise with regards to these two techniques of Tibialis posterior tendon transfer and through our study we aim to compare the clinical and functional outcomes of these two techniques. (clinicaltrials.gov)
- we propose to compare the clinical and functional outcomes with regards to the two techniques i.e extra membranous and Interosseous technique of Tibialis Posterior tendon transfer performed in patients with foot drop as a result of nerve palsy. (clinicaltrials.gov)
- Anterior transfer of tibialis posterior tendon is now regarded as the gold standard treatment as this allows walking without wearing an orthosis and thus substantial improvement in quality of life. (clinicaltrials.gov)
- Acquired flatfoot deformity caused by dysfunction of the posterior tibial tendon is a common clinical problem. (semanticscholar.org)
- Acquired adult flat foot secondary to posterior tibial-tendon pathology. (semanticscholar.org)
- Nineteen patients with the clinical diagnosis of dysfunction of the posterior tibial tendon underwent surgical exploration. (semanticscholar.org)
Graft1
- Yasuda K, Tsujino J, Ohkoshi Y, Tanabe Y, Kaneda K. Graft site morbidity with autogenous semitendinosus and gracilis tendons. (springer.com)
Ruptures1
- Dumbre PSS, Dumbre PVS, Basa VR, Dombale AV. Semitendinosus Tendon Autograft for Reconstruction of Large Deficitis in Chronic Achilles Tendon Ruptures. (springer.com)
Latissimus dorsi transfer2
- Clinical outcome of reverse total shoulder arthroplasty combined with latissimus dorsi transfer for the treatment of chronic combined pseudoparesis of elevation and external rotation of the shoulder. (semanticscholar.org)
- Our preferred method the patient sitting up and follow - up were excellent in patient, good in more than the lower trapezius latissimus dorsi transfer in human lumbar spine, ed , st louis, , mosby. (sacredwaters.net)
Reconstruction5
- Reconstruction of Achilles Rerupture With Peroneus Longus Tendon Transfer. (springer.com)
- Tendon Transfers for Achilles Reconstruction. (springer.com)
- Piontek T, Bąkowski P, Ciemniewska-Gorzela K, Grygorowicz M. Minimally invasive, endoscopic Achilles tendon reconstruction using semitendinosus and gracilis tendons with Endobutton stabilization. (springer.com)
- Piontek T, Bakowski P, Ciemniewska-Gorzela K, Naczk J. Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. (springer.com)
- Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented by extra-articular tendon transfers. (semanticscholar.org)
Hammertoe1
Insertion1
- Surgical procedure by which a tendon is incised at its insertion and placed at an anatomical site distant from the original insertion. (semanticscholar.org)
Muscles1
- Architecture of selected muscles of the arm and forearm: anatomy and implications for tendon transfer. (semanticscholar.org)
Salvage1
- A review of salvage procedures after failed achilles tendon repair. (springer.com)
Repair1
- Potential Risk of Rerupture in Primary Achilles Tendon Repair in Athletes Younger Than 30 Years of Age. (springer.com)
Results1
- The Stanmore score is unique, as being the only score to evaluate the results specific to tendon transfers for foot drop. (clinicaltrials.gov)
Outcome3
- Though this score is not validated but has been widely used as an outcome measure in various studies on tendon transfers. (clinicaltrials.gov)
- Three hypotheses: first, humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer would improve the overall functional outcome in patients with CTA. (semanticscholar.org)
- Humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer in patients having CTA with preserved subscapularis function has satisfactory short-term functional clinical outcome. (semanticscholar.org)
Hand1
- Obtain as much information as possible about the benefits and risk of multiple tendon transfers on the same hand before making the decision to operate again. (itags.org)
Ruptures14
- This develops when the posterior tibial tendon stretches and becomes nonfunctional or ruptures, which can cause the arch of the foot to drop. (aofas.org)
- Dumbre PSS, Dumbre PVS, Basa VR, Dombale AV. Semitendinosus Tendon Autograft for Reconstruction of Large Deficitis in Chronic Achilles Tendon Ruptures. (springer.com)
- Most ruptures not involving great force are diagnosed in patients presenting underlying tendon degenerations. (readbyqxmd.com)
- We have observed several cases of bilateral Achilles tendon ruptures in patients who have been taking cortisone for a long period. (readbyqxmd.com)
- We treated a healthy colleague (neurologist) in our clinic who sustained ruptures of the Achilles tendon on the left side (2012) and the peroneus brevis tendon on left side (2015) and right side (2016) after minimal traumata. (readbyqxmd.com)
- Common muscle or tendon injuries that are treated with tendon transfer surgery are tendon ruptures due to rheumatoid arthritis or fractures. (volusiahandsurgery.com)
- This tendon often ruptures in fractures to the radius (distal radius fractures, wrist fractures) because of the narrow constraints of the path the tendon must run through. (baur-fromberg.de)
- Muscle and tendon injuries such as tendon ruptures due to rheumatoid arthritis or fractures, irreparable muscle and tendon lacerations. (josefeichingermd.com)
- However, as tendon ruptures cause a considerable loss of function effort has been made to improve primary tendon healing as well as to increase the quality of the repaired tissue. (biomedcentral.com)
- Given the common presentation of neglected Achilles tendon ruptures, these authors discuss signs and symptoms, and keys to diagnosis. (podiatrytoday.com)
- 1 It is common to see neglected Achilles tendon ruptures in foot and ankle practices around the country. (podiatrytoday.com)
- Acute Achilles tendon ruptures are occasionally missed or misdiagnosed in emergency rooms and urgent care centers. (podiatrytoday.com)
- The Achilles tendon is the strongest, largest, and thickest tendon in the body, 1-7 yet it is the most frequently ruptured tendon, 2-5,8 with most ruptures occurring at the watershed area approximately 2 to 6 cm proximal to insertion of the tendon. (orthopaedicsone.com)
- 17,18 However, in more chronic ruptures, there will be some degree of plantar flexion on calf compression due to the formation of a scar bridge between the ruptured ends of the Achilles tendon. (orthopaedicsone.com)
Reconstruction19
- TY - JOUR T1 - Nerve Versus Tendon Transfer for Radial Nerve Paralysis Reconstruction. (unboundmedicine.com)
- Reconstruction of Achilles Rerupture With Peroneus Longus Tendon Transfer. (springer.com)
- Tendon Transfers for Achilles Reconstruction. (springer.com)
- Maffulli N, Longo UG, Gougoulias N, Denaro V. Ipsilateral free semitendinosus tendon graft transfer for reconstruction of chronic tears of the Achilles tendon. (springer.com)
- Piontek T, Bąkowski P, Ciemniewska-Gorzela K, Grygorowicz M. Minimally invasive, endoscopic Achilles tendon reconstruction using semitendinosus and gracilis tendons with Endobutton stabilization. (springer.com)
- Piontek T, Bakowski P, Ciemniewska-Gorzela K, Naczk J. Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. (springer.com)
- We located only two reports of the use of an acellular dermal matrix to increase effective tendon length in tendon transfers about the shoulder: (1) GraftJacket patch for a pectoralis major tendon reconstruction and (2) ArthroFlex® patch for LDTT. (hindawi.com)
- A similar problem can occur during pectoralis major tendon reconstruction. (hindawi.com)
- We will limit our focus to the role of cuff reconstruction utilizing latissumus dorsi and/or pectoralis major transfer in an attempt to restore pain-free shoulder function. (orthogate.org)
- At The Institute for Foot and Ankle Reconstruction at Mercy in Baltimore, our surgeons specialize in innovative treatment options, such as a tendon transfer, to help correct a flat foot deformity. (mdmercy.com)
- Tendon transfers have been used in upper extremity reconstruction for well over a century. (blogspot.com)
- Latissimus dorsi tendon transfer: a comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. (semanticscholar.org)
- Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented by extra-articular tendon transfers. (semanticscholar.org)
- Options for reconstruction are limited to distal tendon or nerve transfers and free-functioning muscle transfers. (readbyqxmd.com)
- Free tissue transfer for necrotizing fasciitis reconstruction: A case series. (readbyqxmd.com)
- Free tissue transfer (FTT) is an option for reconstruction in difficult cases. (readbyqxmd.com)
- As you recover from the procedure, you must protect the reconstruction while the tendon heals. (curtisbushmd.com)
- The technique of Achilles tendon reconstruction with Achilles tendon allograft and augmentation with FHL transfer provides a robust plantarflexion mechanism to the ankle that adheres to the principle of restoring native muscle-tendon length relationship. (otaonline.org)
- His basic science research interests include modulation of Transforming Growth Factor-Beta in scarless flexor tendon wound healing and tissue engineered flexor tendon grafts for hand reconstruction. (stanford.edu)
Surgery61
- Patients are typically non-weight bearing for six weeks after surgery to allow the transferred tendon to heal to its new attachment. (aofas.org)
- [ 4 ] tendon transfer surgery expanded not only to those with polio and cerebral palsy, but also to those who required reconstructive surgery for traumatic injuries that were incurred during World War I. The fundamentals of tendon transfer surgery were discovered, and the field of reconstructive tendon surgery was established. (medscape.com)
- Since the tendon transfers that were performed during World War I, reconstructive tendon surgery has advanced significantly. (medscape.com)
- As understanding of hand biomechanics and tissue healing continue to evolve, tendon transfer surgery will expand to new applications and dimensions. (medscape.com)
- The basic concept to remember in tendon transfer surgery, as advocated by Brand, is achieving balance in the extremity. (medscape.com)
- This article reviews the general principles and application of tendon transfers in foot and ankle surgery. (aaos.org)
- Tendon transfer surgery for drop foot, anybody have it done? (healthboards.com)
- We compared the results after nerve transfer in patients with less than 12 months since radial nerve injury with the results after tendon transfer in patients not eligible for nerve surgery because of longstanding paralysis (minimum of 15 months). (unboundmedicine.com)
- After surgery, you will have rehabilitation with our certified hand therapists to help your tendons heal. (utah.edu)
- The doctors performed a tendon transfer surgery in which they cut one of the quadricep muscles of the thigh and transferred it to the knee, forcing the non-damaged side of the brain to be trained for correction of gait, followed by conscientious physical therapy to improve the flexibility and strength of the muscle. (thefreedictionary.com)
- Literature supporting the use of LD tendon transfer has shown it to be of benefit five years following surgery 19 . (orthogate.org)
- Tendon transfer surgery is a more extensive undertaking than direct rotator cuff repairs. (shoulderdoc.co.uk)
- They are generally done by more specialised surgeons with an interest, training and experience in tendon transfer surgery. (shoulderdoc.co.uk)
- Tendon transfers are only beneficial for limited indications and thus not all patients with massive rotator cuff repairs are suitable for the surgery. (shoulderdoc.co.uk)
- The surgery involves rerouting a tendon from a disabled muscle and directly suturing it to a functioning muscle in order to partially restore hand function. (oregonstate.edu)
- The tendon-transfer surgery for high median-ulnar palsy is used as an example in order to present a new approach to tendon-transfer surgery, where implanted passive engineering mechanisms are used to attach the donor muscle to the recipient tendons. (oregonstate.edu)
- As hand surgery evolved as a subspecialty, transfer techniques expanded. (blogspot.com)
- The availability of tendon grafts is an important consideration for successful upper extremity reconstructive surgery, including flexor or extensor tendon reconstructions, tendon transfers, and ligament reconstructions. (readbyqxmd.com)
- Tendon transfer surgery is a type of hand surgery that is performed in order to improve lost hand function. (volusiahandsurgery.com)
- Who needs Tendon Transfer Surgery? (volusiahandsurgery.com)
- Many different conditions can be treated by tendon transfer surgery. (volusiahandsurgery.com)
- Tendon transfer surgery is necessary when a certain muscle function is lost because of a nerve injury. (volusiahandsurgery.com)
- Tendon transfer surgery can be used to attempt to replace that function. (volusiahandsurgery.com)
- Common nerve injuries that are treated with tendon transfer surgery are spinal cord, radial nerve, ulnar nerve, or median nerve injury. (volusiahandsurgery.com)
- Tendon transfer surgery may also be necessary when a muscle has ruptured or been lacerated and cannot be repaired. (volusiahandsurgery.com)
- Also, tendon lacerations that cannot be repaired after injury may be treated with tendon transfer surgery. (volusiahandsurgery.com)
- Tendon transfer surgery may also be needed if a muscle function has been lost due to a disorder of the nervous system. (volusiahandsurgery.com)
- Common nervous system disorders treated with tendon transfer surgery are cerebral palsy, stroke, traumatic brain injuries, and spinal muscle atrophy. (volusiahandsurgery.com)
- In these situations, the missing muscle functions can sometimes be treated with tendon transfer surgery. (volusiahandsurgery.com)
- What happens during Tendon Transfer Surgery? (volusiahandsurgery.com)
- What are the alternatives to Tendon Transfer Surgery? (volusiahandsurgery.com)
- Discussion of your individual case with your hand surgeon will help you further understand the risks and benefits associated with tendon transfer surgery. (volusiahandsurgery.com)
- In a so-called "free tissue transfer", the muscle including tissues containing arteries and veins, and nerve branches are attached to the recipient using microvascular surgery. (baur-fromberg.de)
- A further transfer surgery is the rerouting of one of the index finger's extensor tendons to the long extensor tendon of the thumb. (baur-fromberg.de)
- Tendon transfer surgery relocates a healthy tendon to restore the movement in an affected joint. (spokanept.com)
- Nerve repair surgery may sometimes be able to restore sensation prior the tendon transfer. (spokanept.com)
- At Caremotto we help you choose from a wide list of hospitals for Tendon Transfer surgery in Hyderabad. (caremotto.com)
- 3 Tendon Transfers in Reconstructive Tetraplegia Hand Surgery WELCOME 'Thus tetraplegia seems to have been a neglected, indeed almost a forbidden field for modern hand surgery. (docplayer.net)
- 15 Tendon Transfers in Reconstructive Tetraplegia Hand Surgery SPONSORS Sempermed Magyarország Kft. (docplayer.net)
- In an interview with Lianhe Wanbao, Dr David Su talks about the causes and treatment of splay foot, such as tendon transfer surgery. (toc.com.sg)
- Tendon transfer surgery is a surgery to restore the lost functions of the hand by shifting functioning tendon from its initial attachment to the new one. (josefeichingermd.com)
- Tendon transfer surgery is done to restore certain muscle functions that are lost because of nerve injury. (josefeichingermd.com)
- Congenital conditions such as hypoplastic thumbs and birth brachial plexopathy (paralyzed nerves) in which certain muscle functions are absent can be treated with tendon transfer surgery. (josefeichingermd.com)
- Usually, a tendon transfer surgery will require a period of 1-2 months to heal completely. (josefeichingermd.com)
- 1). Wait throughout the entire rehabilitation period before requesting a second tendon transfer surgery unless the defect is manifest from the beginning. (itags.org)
- 2). Consult with your surgeon about the feasibility of undergoing another tendon transfer surgery, weighing the risks against the benefits. (itags.org)
- Doctors often will have varying opinions on the feasibility of any particular operation, so having multiple consultations can increase your likelihood of finding someone that is willing to redo your tendon transfer surgery. (itags.org)
- The tendon transfer surgery allows the ankle and foot to move up and down and regain some motion in order to make a movement for ankle & foot and eliminate the need for a brace altogether. (medispaindia.in)
- Sometimes tendon transfer doesn't match with the newly position after transferring the same and doesn't heal resulting in broken or loosen tendon implants, which may require a further surgery. (medispaindia.in)
- Usually, it is required to stay in the hospital for 2-3 nights after the tendon transfer surgery and there is need to take a rest with your foot elevated for 1-7 days. (medispaindia.in)
- Generally, the cost of tendon transfer of Medispa Laser & Cosmetic Surgery Centre is an affordable one, which is provided by World's renowned Plastic & Cosmetic Surgeon, Dr Suneet Soni. (medispaindia.in)
- Optimal tension during tendon transfer is the most important surgeon-controlled factor, which determines the final outcome of surgery. (elsevier.com)
- In summary, tendon lengthening surgery has been practiced for many decades. (rutgers.edu)
- The purpose of this study was to determine whether the observed improvement in shoulder function in the early postoperative period with latissimus dorsi tendon transfer for irreparable rotator cuff tears will be permanent or will deteriorate in the midterm period (at 1-5 years after surgery). (qxmd.com)
- Many quadriplegics could live more independent lives with a highly specialised operation called tendon transfer surgery. (vic.gov.au)
- Doctors carry out tendon repair surgery to fix a tendon injury. (medicalnewstoday.com)
- Before surgery for tendon repair, doctors will explain the procedure and provide anesthesia, which will prevent the person from feeling any pain. (medicalnewstoday.com)
- The surgeon may want to see the person try to move their tendon as soon as possible after the surgery, or during, if they are awake, to ensure the procedure was successful. (medicalnewstoday.com)
- There are three stages to the timeline of tendon healing after surgery. (medicalnewstoday.com)
- In most cases, a person can go home shortly after having tendon repair surgery. (medicalnewstoday.com)
- Various other symptoms can occur which may be repaired through surgery and tendon transfers. (wikipedia.org)
Procedure23
- My Mom wants me to get a tendon transfer in hopes that maybe I could feed myself or do something because it might take some workload off her, I am concerned about the risk vs. Reward aspect of the procedure. (rutgers.edu)
- The modification to the Hibbs (extensor tendons) and Taylor-Girdlestone (flexor tendons) procedure produces reproducible, long-term correction with minimal complications. (springer.com)
- This procedure is called a tendon transfer. (utah.edu)
- In this procedure, the diseased tendon of the peroneus brevis is excised, often to a level above the ankle joint, and reattached to the healthier peroneus longus so that the both the peroneus longus and peroneus brevis muscle both pull through one tendon. (footeducation.com)
- This minimizes the degree of weakening resulting from a tendon excision procedure. (footeducation.com)
- A second less common procedure is the converse, in which the peroneus longus tendon is transferred to the brevis. (footeducation.com)
- Performing a peroneal tendon transfer procedure involves making an incision on the outside back part of the ankle, and exposing both of the peroneal tendons. (footeducation.com)
- To be successful, this procedure needs the tendon transfer to heal solidly. (footeducation.com)
- It is often a 'salvage procedure' when direct repairs have failed or are impossible to perform due to the size of the tear or poor muscle and tendon quality. (shoulderdoc.co.uk)
- Foot and ankle surgeons should be aware of the benefits of this procedure as well as understanding potential complications and how to mitigate unwanted outcomes when performing flexor to extensor tendon transfers for digital deformity. (springer.com)
- Barbari SG, Brevig K. Correction of clawtoes by the Girdlestone-Taylor flexor-extensor transfer procedure. (springer.com)
- The combination of the flexor digitorum longus tendon transfer and spring ligament repair with subtalar arthrodesis is an effective and reliable procedure which provides excellent correction of hindfoot valgus as well as forefoot abduction and restoration of the height of the longitudinal arch. (unboundmedicine.com)
- Indications for this procedure are generally for cases where additional mechanical strength is needed such as untreated Achilles tendon rupture with weakness or painful heel spurs ( Haglund's deformity ) that require Achilles tendon detachment to remove and FHL transfer is used to add mechanical strength to the repair. (footeducation.com)
- The technique for this procedure involves harvesting the FHL tendon responsible for flexing the big toe, and transferring it into or around the calcaneus where the Achilles tendon attaches. (footeducation.com)
- It is a procedure in which the tendon of a functioning muscle is detached or divided at or near it's insertion, mobilized and reinserted into a bony part or another tendon to supplement or substitute for the lost function. (blogspot.com)
- The transferred tendon is secured with stitches using a weave procedure. (spokanept.com)
- This procedure is performed by removing one end of a functional muscle from its tendinous insertion into a bone and connecting it to a different bone or tendon. (massgeneral.org)
- The procedure of tendon transfers is being done by cutting the tendon at its normal insertion, rerouting it through the soft tissues followed by connecting it to another bone in the foot. (medispaindia.in)
- The tendon transfer procedure now finally followed by the sutures used to sew the tendon to the other. (medispaindia.in)
- The reconstructive procedure generally involves harvesting of the lower trapezius tendon, preparation of the Achilles tendon allograft, and transfer of the lower trapezius tendon to your shoulder. (curtisbushmd.com)
- The basic tendon lengthening procedure involves cutting the tendon partway at two points and a cut down the middle of the tendon. (rutgers.edu)
- The procedure is simplified for illustrative purposes but it shows how the cuts (left image) can allow two strands of tendon to be slid alongside each other (middle image), and sewed together (right image). (rutgers.edu)
- The procedure does reduce spasticity of major muscle groups and well-healed tendons are strong enough to permit renewal of athletic activity. (rutgers.edu)
Rotator17
- Massive irreparable rotator cuff tears can be reconstructed with latissimus dorsi tendon transfers (LDTT). (hindawi.com)
- Drawings (a) and (b) show how a LDT is typically transferred and sewn to the defect where the rotator cuff would normally insert. (hindawi.com)
- LD transfer, originally described for Erb's Palsy, utilizes autogenous, innervated and vascularized tissue 16 in an attempt to recreate the absent posterior force couple normally provided by the posterosuperior rotator cuff 17 . (orthogate.org)
- In the massive rotator cuff tear, which is not reparable, good results can be obtained with regional tendon transfers. (shoulderdoc.co.uk)
- BACKGROUND: Transfer of the latissimus dorsi tendon to the greater tuberosity of the humerus for treatment of an irreparable rotator cuff tear has been reported to yield good-to-excellent short to intermediate-term results in well-selected patients. (uzh.ch)
- The purpose of this study was to evaluate the long-term outcome of such transfers for irreparable posterosuperior rotator cuff tears to determine the durability of the results and to identify risk factors for an unfavorable outcome. (uzh.ch)
- CONCLUSIONS: Latissimus dorsi tendon transfer offered an effective treatment for irreparable posterosuperior rotator cuff tears, with substantial and durable improvements in shoulder function and pain relief. (uzh.ch)
- Latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears. (semanticscholar.org)
- Lower trapezius tendon transfer with incorporation of an Achilles tendon allograft has emerged as an effective way to restore function and provide pain relief in patients with massive rotator cuff tears. (curtisbushmd.com)
- A rotator cuff is a group of muscles and tendons that holds the shoulder joint in place and allows movement of the arm and shoulder. (curtisbushmd.com)
- The torn rotator cuff is removed arthroscopically to create room for the transfer. (curtisbushmd.com)
- Any healthy rotator cuff is either partially repaired or secured to the tendon transfer. (curtisbushmd.com)
- Christian Gerber and Bassem ELHassan discussed their experience with Latissimus Dorsi and Lower Trapezius Tendon transfers for management of irreparable posterosuperior rotator cuff tears. (codmansociety.org)
- Transfer of the latissimus dorsi tendon to the posterosuperior part of the rotator cuff is an option in active patients with massive rotator cuff tears to restore shoulder elevation and external rotation. (qxmd.com)
- The latissimus dorsi tendon transfer may improve shoulder function in irreparable massive rotator cuff tears. (qxmd.com)
- Arthroscopic-Assisted Latissimus Dorsi Transfer for the Management of Irreparable Rotator Cuff Tears: Short-Term Results. (qxmd.com)
- Latissimus dorsi transfer for the treatment of irreparable craniodorsal tears of the rotator cuff]. (qxmd.com)
Surgeons10
- Our surgeons have expertise with hand trauma and specialize in tendon repairs. (utah.edu)
- For example, if tendons are cut but the entire tendon is still in place, surgeons will perform a tendon repair. (utah.edu)
- Surgeons perform some tendon transfers in the lower extremity (legs, ankles, and feet), but these are less common. (utah.edu)
- Tendon transfers are less commonly performed and not routinely done by most surgeons. (shoulderdoc.co.uk)
- 5 Due to the relative strength of the flexor digitorum longus tendon, surgeons often combine its transfer to augment the posterior tibial tendon with adjunctive procedures to decrease the biomechanical stress on the transferred tendon. (podiatrytoday.com)
- Accordingly, these authors advocate for the use of tendon balancing procedures as viable alternatives that surgeons can combine with a modified Lapidus and endoscopic gastrocnemius recession when adjunctive procedures are warranted. (ipodiatry.org)
- Surgeons perform tendon transfers by releasing one end of a tendon from bone or soft tissue and reconnecting it to another bone or tendon. (wustl.edu)
- Unfortunately, for most surgeons proper tensioning of muscle-tendon units remains an art. (cyth.com)
- Surgeons usually take tendons from areas where the body has two tendons but can manage with just one. (medicalnewstoday.com)
- Mayo Clinic surgeons can regain elbow, wrist, finger or thumb function by transferring donor muscles and nerves to paralyzed muscles. (mayoclinic.org)
Deformity9
- For the flat foot where the tendon is ruptured but there is not significant deformity, a tendon is usually transferred to replace the torn posterior tibial tendon. (mdmercy.com)
- For a Stage 1 deformity, a posterior tibial tendon tenosynovectomy or primary repair may be indicated. (podiatrytoday.com)
- Correction of residual metatarsus adductus deformity following ponseti management of idiopathic clubfoot in toddlers by tibialis anterior tendon transfer. (alliedacademies.org)
- Purpose of study: The aim of this study is reporting the results of our experience regarding tibialis anterior tendon transfer for correction of previous deformity. (alliedacademies.org)
- Conclusion: Residual dynamic metatarsus adductus deformity following Ponseti management of congenital talipes equinovarus can be corrected efficiently and simply by tibialis anterior tendon transfer. (alliedacademies.org)
- Transfer of the anterior tibialis tendon is an effective method for correcting this deformity in children. (alliedacademies.org)
- Acquired flatfoot deformity caused by dysfunction of the posterior tibial tendon is a common clinical problem. (semanticscholar.org)
- In situations where there is muscle-tendon imbalance and deformity (see example below). (ankleandfootnorthwest.com)
- Split posterior tibial tendon transfer was effective for treating spastic varus deformity of the hind part of the foot. (fujita-hu.ac.jp)
Posterior tibial tendon dysfunction5
- The FDL Implant System is used for posterior tibial tendon dysfunction. (arthrex.com)
- Citing multiple advantages, this author emphasizes that combining a flexor digitorum longus tendon transfer with a gastrocnemius recession and medial displacement calcaneal osteotomy can provide pain relief to patients with stage 2 posterior tibial tendon dysfunction. (podiatrytoday.com)
- Posterior tibial tendon dysfunction (PTTD) is a common pathology that foot and ankle specialists encounter. (podiatrytoday.com)
- Posterior tibial tendon dysfunction is characterized by a valgus hindfoot, flattening of the longitudinal arch of the foot and abduction of the forefoot. (podiatrytoday.com)
- Posterior tibial tendon dysfunction in its early stages may be treated with rest, cold packs, immobilization, physical therapy, steroid injection and anti-inflammatory medication. (crossbayfootcarecenter.com)
Tibialis9
- Although it is not possible to discuss every tendon transfer used around the foot and ankle, two of the most commonly applied will be reviewed: tibialis posterior tendon transfer through the interosseous membrane for footdrop and flexor hallucis longus tendon transfer to the calcaneus for Achilles tendon pathology. (aaos.org)
- Prospective Randomized Controlled Trial Comparing Extramembranous and Interosseous Technique of Tibialis Posterior Tendon Transfer. (clinicaltrials.gov)
- Two methods of rerouting the posterior tibialis tendon have been reported, one through the interosseous membrane i.e. (clinicaltrials.gov)
- There is a clinical equipoise with regards to these two techniques of Tibialis posterior tendon transfer and through our study we aim to compare the clinical and functional outcomes of these two techniques. (clinicaltrials.gov)
- Anterior transfer of tibialis posterior tendon is now regarded as the gold standard treatment as this allows walking without wearing an orthosis and thus substantial improvement in quality of life. (clinicaltrials.gov)
- This is a prospective study of leprosy patients who underwent tibialis posterior tendon transfer between Jan 2012 to Dec 2015 at Tagore Medical College Hospital and Research Institute. (thefreedictionary.com)
- Patients and methods: In this prospective case series study, 21 children (9 females) with residual dynamic metatarsus adductus following treatment of idiopathic congenital talipes equinovarus utilizing Ponseti technique in the orthopedic department of Al-Azher University Hospital, Mapera Zagazig Hospital and El-Bakry General Hospital treated by transfer of tibialis anterior tendon into third cuneiform bone. (alliedacademies.org)
- At our institution, we have used the technique of transfering the whole tibialis anterior tendon subcutaneously to the 3rd cuniform bone according to Ponseti and Smoley technique [ 5 ], thereby maintaining its position beneath the ankle retinaculum. (alliedacademies.org)
- Split tendon transfers of the tibialis posterior (TP) are often performed to eliminate the excessive hindfoot inversion present in equinovarus. (elsevier.com)
Muscles and tendons2
- Loss of function in the hand can occur because of several problems which affect the muscles and tendons directly or indirectly. (spokanept.com)
- Muscles and tendons can be severed by traumatic injuries or affected by scar tissue from burns. (spokanept.com)
Shoulder9
- Sometimes the teres major tendon is transferred in addition to the latissimus dorsi tendon (LDT) in order to obtain better external rotation of the shoulder [ 4 , 5 ]. (hindawi.com)
- The purpose of a vascularized tendon transfer is to behave in part as a humeral head depressor while, secondarily, providing a biomechanical vector that restores as close to normal shoulder mechanics as possible 11 . (orthogate.org)
- The ideal patient for LD tendon transfer is a young male labourer with shoulder pain and a documented irreparable posterosuperior RCT 12-15 . (orthogate.org)
- Tendon transfers also have an important role in addressing foot drop and shoulder paralysis. (massgeneral.org)
- Lower trapezius tendon is the last part of the trapezius muscle that is attached to your shoulder blade (scapula). (curtisbushmd.com)
- The graft along with the LT tendon is passed below the deltoid (the muscle that covers your shoulder) with adequate tension to secure the tendon. (curtisbushmd.com)
- The knowledge of the biceps tendon as a potential source of pain in the shoulder has been longstanding. (sportssurgerychicago.com)
- Nevertheless, latissimus dorsi tendon transfer may help to delay the need for reverse shoulder arthroplasty for these patients. (qxmd.com)
- Reverse shoulder arthroplasty combined with a latissimus dorsi and teres major transfer for a deficit of both active elevation and external rotation. (qxmd.com)
Thickest tendon in the huma1
- The Achilles tendon is the strongest and thickest tendon in the human body. (podiatrytoday.com)
Injuries6
- What Are Tendon Injuries? (utah.edu)
- Tendons can become injured after trauma or sharp injuries. (utah.edu)
- If a whole section of a tendon is lost during an injury, the tendon can't be stitched to itself like most tendon injuries. (utah.edu)
- Lower extremity tendon injuries often occur in physically active individuals. (readbyqxmd.com)
- In this article, the authors describe the long-term outcomes of brachialis muscle-to-flexor digitorum profundus transfer to restore prehension in patients with traumatic lower trunk brachial plexus injuries. (readbyqxmd.com)
- The surgeon will make at least one cut through the skin in the area above the injured tendon so they can see it and look for injuries. (medicalnewstoday.com)
Graft3
- Yasuda K, Tsujino J, Ohkoshi Y, Tanabe Y, Kaneda K. Graft site morbidity with autogenous semitendinosus and gracilis tendons. (springer.com)
- If this is the case, the surgeon will graft an extra piece of tendon between the ends to make them meet. (medicalnewstoday.com)
- The surgeon will usually take the healthy tendon tissue for the graft from another part of the person's body. (medicalnewstoday.com)
Upper Extremity2
- Your doctor can diagnose a tendon injury by reviewing your medical history and examining your upper extremity. (spokanept.com)
- A portion of the course will allow attendees to perform tendon transfers on whole torso and upper extremity cadaveric specimens. (eventsnearhere.com)
Distal3
- The flexor digitorum profundus (FDP) perforates the superficialis tendon to insert at the distal phalanx. (medscape.com)
- Loss of function of a musculotendinous unit due to trauma or disease -- Rupture of the extensor pollicis longus (EPL) tendon is a common complication secondary to a distal radial fracture. (blogspot.com)
- and (3) a routing variation in which the transferred tendon half was passed through a window in the interosseous membrane and attached to the distal peroneus brevis tendon. (elsevier.com)
Latissimus5
- Although uncommon, the natural length of the latissimus dorsi tendon (LDT) could be insufficient for transfer even after adequate soft tissue releases. (hindawi.com)
- Illustration of latissimus dorsi transfer to posterosuperior greater tuberosity. (orthogate.org)
- METHODS: Fifty-seven shoulders in fifty-five patients (seventeen women and thirty-eight men with a mean age of fifty-six years) were managed with latissimus dorsi tendon transfer. (uzh.ch)
- Time-dependent changes after latissimus dorsi transfer: tenodesis or tendon transfer? (qxmd.com)
- In order to restore abduction and external rotation, a transfer of the latissimus dorsi or teres major tendon to the lateral side of the supraspinatus footprint can be performed. (anatomy-physiotherapy.com)
Tenodesis5
- Arthrex has developed the Tenodesis Tension-Slide Technique for FDL tendon transfer. (arthrex.com)
- The Tenodesis Screw System eliminates transosseous tunnels in tendon repairs and ligament reconstructions. (arthrex.com)
- The authors attributed these results to both the tenodesis effect of the transfer as well as active contraction of the transferred muscle 18 . (orthogate.org)
- More recently, the senior author (S.J.O.) has developed an arthroscopic technique for transfer of the long head biceps tendon to the conjoint tendon as a method of tenodesis. (sportssurgerychicago.com)
- This study hypothesized that an all-arthroscopic technique for transfer of the long-head biceps to the conjoint tendon instead of traditional tenodesis transfer more closely recreates the normal axis of the biceps muscle and may offer improved results over conventional tenodesis. (sportssurgerychicago.com)
Median1
- Principles of tendon transfers of median, radial and ulnar nerves. (medlineplus.gov)
Another tendon1
- 3). Seek a second or third option if your primary surgeon is unwilling or unable to perform another tendon transfer operation. (itags.org)
Extensor Tendon Transfers1
- DiNucci K., Hegewald K. (2019) Flexor to Extensor Tendon Transfers. (springer.com)
Lower trapezius tendon1
- Recovery from lower trapezius tendon transfer is a slow process and you must ensure you follow the prescribed rehabilitation protocol for strengthening muscles and improving range of motion. (curtisbushmd.com)
Tissues4
- Tendons are strong tissues that attach your muscles to your bones and allow movement. (spokanept.com)
- Once healed, the tendon is longer and the cut parts will fill out with scar tissues. (rutgers.edu)
- Also bear in mind that neurotransmitters such as glutamate have recently been isolated in elevated concentrations in pathologic tendon tissues and may relate to pain in a degenerative Achilles. (podiatrytoday.com)
- Tendons are tissues that help attach muscles to bones. (medlineplus.gov)
Rupture of the tendon transfer2
- Movement too early can lead to rupture of the tendon transfer. (volusiahandsurgery.com)
- It is important to take care that you do not start movements too early as it may cause rupture of the tendon transfer and at the same time do not delay the movements. (josefeichingermd.com)
Surgeon10
- To repair an injured tendon, your surgeon will find the ends of the tendon that are cut and repair them using a strong suture (stitches) technique. (utah.edu)
- Your surgeon will select tendon transfer or other treatments based on your condition and which technique offers the best chance of recovery. (wustl.edu)
- Finally, exercises will be needed to strengthen the muscle after your hand surgeon feels the tendon transfer has sufficiently healed. (volusiahandsurgery.com)
- After you are anesthetized, your surgeon will make an incision to access the tendon(s) to be transferred and the area where the tendon will be attached. (spokanept.com)
- Your surgeon will make a preliminary attachment and check the tension and function of the transferred tendon. (spokanept.com)
- After the tendon transfer has healed, your surgeon may recommend exercises to strengthen the muscle. (josefeichingermd.com)
- Your child's surgeon may make the tendons around the foot longer or shorter. (medlineplus.gov)
- The tendon may be too short for the surgeon to sew it back together as it is. (medicalnewstoday.com)
- A tendon transfer involves a surgeon removing a tendon that is close to the severed tendon and sewing it into the place of the broken tendon to restore function. (medicalnewstoday.com)
- Performed alone or in combination with other procedures, a surgeon will take tendons from under the toe and ?re-route? (rakuten.co.jp)
Restore function2
- At the end of the 19th century, physicians first realized that transferring tendons could restore function to an extremity. (medscape.com)
- Tendon transfers are used to restore function after an injury or medical condition has compromised function in the hand. (spokanept.com)
Ligament2
- We retrospectively reviewed the results of subtalar arthrodesis combined with spring ligament repair/reefing and flexor digitorum longus (FDL) transfer to the navicular. (unboundmedicine.com)
- The posterior and anterior cruciate ligaments, medial collateral ligament, semitendinosus tendon and patellar tendon were harvested from New Zealand white rabbits. (elsevier.com)
Underwent2
- Sixteen patients (23 feet) who underwent split posterior tibial tendon transfers were evaluated. (fujita-hu.ac.jp)
- Koepka underwent a stem cell treatment on his left knee to repair a partially torn patella tendon after the Tour Championship in August, which was supposed to fix the injury that had hindered him all season. (yahoo.com)
Wrist7
- You will need a tendon transfer to get some function of your finger/first finger and possibly some wrist. (rutgers.edu)
- The relationship of flexor tendons to the wrist joint, metacarpophalangeal (MCP) joint, and interphalangeal (IP) joints is maintained by a retinacular or pulley system that prevents the bowstringing effect. (medscape.com)
- For more information about the relevant anatomy, see Hand Anatomy , Flexor Tendon Anatomy , and Wrist Joint Anatomy . (medscape.com)
- In the tendon transfer group, we observed limitations in wrist flexion in 9 of the 13 patients and permanent radial deviation in 5. (unboundmedicine.com)
- Tendons link muscles and bones and control how our wrist and fingers move. (utah.edu)
- Rheumatoid arthritis may be responsible for tendon rupture of any of the hand and wrist tendons, but it commonly leads to rupture of extensor tendons of the fingers or thumb (photo credit). (blogspot.com)
- Tendon transfers were planned and performed to restore thumb, wrist, and finger extension. (eplasty.com)
Donor3
- This direct suture between the donor muscle and the recipient tendons directly couples the movement of all the joints actuated by the recipient tendons, leading to reduced hand function in physical interaction tasks such as grasping, a key aspect for activities of daily living. (oregonstate.edu)
- The purpose of this study is, therefore, to pursue a method of estimating available donor tendon lengths based on easily measured anatomical surface landmarks. (readbyqxmd.com)
- The most important technical consideration in the final outcome of these procedures are the tension and position with which the donor tendon is attached to the recipient tendon. (elsevier.com)
Anterior2
- Silver and colleagues calculated the strength of the posterior tibial tendon to be 6.4, the anterior tibial tendon to be 5.6, the peroneus longus 5.5, the flexor hallucis longus 3.6, the peroneus brevis 2.6 and the flexor digitorum longus tendon to be 1.8, with muscle strength relative to the proportional cross-sectional area. (podiatrytoday.com)
- Anterior submuscular transfer affords good functional outcomes without addressing the nonunion of the lateral condyle of humerus. (aaos.org)
Flexor digitorum sup2
- At the palm, the flexor digitorum superficialis (FDS) tendon lies volar to the profundus tendon. (medscape.com)
- P. Kiran Sasi, Swagath Mahapatra, Samuel C. Raj Pallapati, and Binu P. Thomas, "Acute Traumatic Musculotendinous Avulsion of the Flexor Pollicis Longus Tendon Treated with Primary Flexor Digitorum Superficialis Transfer: A Novel Technique of Management," Case Reports in Orthopedics , vol. 2016, Article ID 2106203, 4 pages, 2016. (hindawi.com)
Peroneus3
- This is often performed when the peroneus longus muscle is overactive relative to the brevis tendon, causing the base of the great toe to be driven into the ground with each step. (footeducation.com)
- With pathology of the posterior tibial tendon, its antagonist, the peroneus brevis tendon, acts as a deforming force in the development of hindfoot valgus and forefoot abduction. (podiatrytoday.com)
- Similar moment arms were measured when the attachment site on the peroneus brevis tendon was located either proximally or distally, suggesting that this choice does not appear to significantly affect the mechanical outcome. (elsevier.com)
Tear6
- You could add Tendon transfer for irreparable cuff tear to a list if you log in . (openlibrary.org)
- Are you sure you want to remove Tendon transfer for irreparable cuff tear from your list? (openlibrary.org)
- It is not possible to repair the torn posterior tibial tendon, since it will quickly stretch out and tear again. (mdmercy.com)
- It was l ater confirmed that the veteran defender had suffered an Achilles tendon tear and that the Frenchman would miss not only the World Cup but a majority of next season. (footballtransfertavern.com)
- Inflammation or a tear of this tendon as a result of injury may cause dysfunction, leading to pain and the development of flatfoot. (crossbayfootcarecenter.com)
- If there is too much tension on the tendon, the repair will fail and re-tear. (medicalnewstoday.com)
Grafts1
- In some cases, tendon grafts can be used, in which a portion of intact tendon is removed, without its muscle, and used to bridge a gap in an injured tendon. (volusiahandsurgery.com)
