Tibialis Posterior Tendon Transfers to Correct Bilateral Postburn Ankle Equinus: A Case Report

التفاصيل البيبلوغرافية
العنوان: Tibialis Posterior Tendon Transfers to Correct Bilateral Postburn Ankle Equinus: A Case Report
المؤلفون: Shu Ying Chee, Johnny McKenna, Odhran Shelley
المصدر: Annals of plastic surgery. 86(6)
سنة النشر: 2021
مصطلحات موضوعية: Burn injury, medicine.medical_specialty, medicine.medical_treatment, Tendon Transfer, 030230 surgery, Tendons, 03 medical and health sciences, 0302 clinical medicine, Fibrosis, medicine, Deformity, Humans, Joint Contracture, Rehabilitation, business.industry, Equinus Deformity, Middle Aged, medicine.disease, Surgery, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Soft tissue injury, Female, medicine.symptom, Ankle, Complication, business, Ankle Joint
الوصف: Treatment of joint contractures after burn injury is challenging because various factors influence the treatment options including the lack of local tissue, significant fibrotic changes with associated loss of joint pliability, increased prevalence of infection in burn patients, and patient-related medical comorbidities.We present a case of a 60-year-old woman who had severe bilateral postburn ankle equinus deformities after self-immolation in the setting of significant soft tissue injury, fibrosis, and loss of joint movement. This deformity deprived her of the ability to walk, even aided, and she was unable to progress with her rehabilitation. We used the tibialis posterior tendon transfer to completely correct her postburn ankle equinus allowing for the restoration of both her feet to a neutral position, which enabled the patient to walk unaided after the surgery. This is a simple and effective solution to a complex problem when soft tissue reconstruction is limited. Patients with this complication are wheelchair dependent, and we suggest that posterior tibialis transfer should be considered as a surgical intervention for burns with severe equinus contracture even if there is a fixed deformity to allow for their full rehabilitation after injury.
تدمد: 1536-3708
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c3c9419034ae557155fc11a6ace2af3b
https://pubmed.ncbi.nlm.nih.gov/33661225
رقم الانضمام: edsair.doi.dedup.....c3c9419034ae557155fc11a6ace2af3b
قاعدة البيانات: OpenAIRE