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The purpose of this study was to determine the movement patterns and the muscular demand during a posterior transfer maneuver on a level surface in individuals with spinal cord injuries.
In summary, this feasibility study indicates that early active mobilisation of tibialis posterior transfer in patients with Hansen's disease is safe and has similar outcomes to immobilisation with a reduced time to independent walking, warranting the design of a controlled clinical trial to further substantiate this.
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The same posterior transfers must occur during the parity-check phase, however, and the lower computational load in that phase exposes most of the latency as a decoding delay.
After tibialis posterior tendon transfer surgery for foot-drop correction, the foot is traditionally immobilised for several weeks.
HTO = high tibial osteotomy; MegaOATS = large osteochondral autogenous transplantation system; MRI = magnetic resonance imaging; OATS = osteochondral autogenous transplantation system; PCT = posterior condyle transfer; SD = standard deviation.
The study collective includes 10 female and 23 male individuals, with six posterior condyle transfer (PCT) and four MegaOATS procedures in the females, and 11 PCT and 12 MegaOATS procedures in the males.
ACI, autologous chondrocyte implantation; ACL, anterior cruciate ligament; Fc, femoral condyle; HTO, high tibial osteotomy; MegaOATS, large osteochondral autogenous transplantation system; OATS, osteochondral autologous transplantation; PCT, posterior condyle transfer.
One alternative is posterior tibialis tendon transfer, a procedure designed to achieve active dorsiflexion.
The posterior tibial tendon transfer through the interosseous membrane, as popularized by Watkins in 1954, is a procedure for treating reducible eversion and dorsiflexory paresis used by lower extremity foot and ankle surgeons.
Seventeen patients underwent the posterior femoral condyle transfer, one of them in both knees.
The anterior tibial tendon was preferred over the posterior tibial for transfer because the operation is easier to perform and the anterior tibial functions in phase with the foot dorsiflexors, thereby making unnecessary postoperative training.
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