Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies
Peroneal palsy with loss of active dorsal flexion in foot can be surgically treated by anterior transfer of tibialis posterior tendon. Two techniques are available, classic and modified Barr’s technique of the anterior transfer of tibialis posterior tendon, with different place of tendon’s reinsert...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
2008-05-01
|
| Series: | Biomolecules & Biomedicine |
| Subjects: | |
| Online Access: | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2973 |
| _version_ | 1797260849156456448 |
|---|---|
| author | Sanela Salihagić Zoran Hadžiahmetović Abdulah Fazlić |
| author_facet | Sanela Salihagić Zoran Hadžiahmetović Abdulah Fazlić |
| author_sort | Sanela Salihagić |
| collection | DOAJ |
| description |
Peroneal palsy with loss of active dorsal flexion in foot can be surgically treated by anterior transfer of tibialis posterior tendon. Two techniques are available, classic and modified Barr’s technique of the anterior transfer of tibialis posterior tendon, with different place of tendon’s reinsertion. The aim of the study is evaluation of the degree of active dorsal flexion in foot, and appearance of varus position and hipercorrection of the foot, by comparing the results of the two operative techniques. The study included 40 patients with peroneal irreparable palsies, divided into two equally sized groups. The first group was treated by classic Barr’s technique. The other group of patients was treated by modified Barr’s technique. The group treated by modified Barr’s technique exhibited better functional results. Active dorsal flexion achieved between 95o (in 35% cases) and 90o (in 50% cases), while varus position and hipercorrection of the foot were absent. In the second group of 20 patients, treated by classic Barr’s technique, 80o (40%) and 90o (25%) of active dorsal flexion, indicated worse functional postoperative results. Active dorsal flexion of 70o achieved by this method in two cases (10%), represents unsatisfactory functional result. Varus position of the foot was recorded in 5 cases (25%) and hipercorrection in 4 cases (20%). Modified Barr’s technique is surgical method with better functional and postoperative results in treatment of irreparable peroneal palsy
|
| first_indexed | 2024-04-24T23:31:51Z |
| format | Article |
| id | doaj.art-d3ec5cd2a0504ff69071f813919071e7 |
| institution | Directory Open Access Journal |
| issn | 2831-0896 2831-090X |
| language | English |
| last_indexed | 2024-04-24T23:31:51Z |
| publishDate | 2008-05-01 |
| publisher | Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina |
| record_format | Article |
| series | Biomolecules & Biomedicine |
| spelling | doaj.art-d3ec5cd2a0504ff69071f813919071e72024-03-15T14:38:26ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2008-05-018210.17305/bjbms.2008.2973574Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal PalsiesSanela Salihagić0Zoran Hadžiahmetović1Abdulah Fazlić2Clinic for Plastic and Reconstructive Surgery, University of Sarajevo Clinics CentreEmergency Medicine Center, University of Sarajevo Clinics CentreClinic for Plastic and Reconstructive Surgery, University of Sarajevo Clinics Centre Peroneal palsy with loss of active dorsal flexion in foot can be surgically treated by anterior transfer of tibialis posterior tendon. Two techniques are available, classic and modified Barr’s technique of the anterior transfer of tibialis posterior tendon, with different place of tendon’s reinsertion. The aim of the study is evaluation of the degree of active dorsal flexion in foot, and appearance of varus position and hipercorrection of the foot, by comparing the results of the two operative techniques. The study included 40 patients with peroneal irreparable palsies, divided into two equally sized groups. The first group was treated by classic Barr’s technique. The other group of patients was treated by modified Barr’s technique. The group treated by modified Barr’s technique exhibited better functional results. Active dorsal flexion achieved between 95o (in 35% cases) and 90o (in 50% cases), while varus position and hipercorrection of the foot were absent. In the second group of 20 patients, treated by classic Barr’s technique, 80o (40%) and 90o (25%) of active dorsal flexion, indicated worse functional postoperative results. Active dorsal flexion of 70o achieved by this method in two cases (10%), represents unsatisfactory functional result. Varus position of the foot was recorded in 5 cases (25%) and hipercorrection in 4 cases (20%). Modified Barr’s technique is surgical method with better functional and postoperative results in treatment of irreparable peroneal palsy https://www.bjbms.org/ojs/index.php/bjbms/article/view/2973peroneal palsytendon transferactive dorsal flexion |
| spellingShingle | Sanela Salihagić Zoran Hadžiahmetović Abdulah Fazlić Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies Biomolecules & Biomedicine peroneal palsy tendon transfer active dorsal flexion |
| title | Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies |
| title_full | Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies |
| title_fullStr | Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies |
| title_full_unstemmed | Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies |
| title_short | Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies |
| title_sort | classic and modified barr s technique of anterior transfer of the tibialis posterior tendon in irreparable peroneal palsies |
| topic | peroneal palsy tendon transfer active dorsal flexion |
| url | https://www.bjbms.org/ojs/index.php/bjbms/article/view/2973 |
| work_keys_str_mv | AT sanelasalihagic classicandmodifiedbarrstechniqueofanteriortransferofthetibialisposteriortendoninirreparableperonealpalsies AT zoranhadziahmetovic classicandmodifiedbarrstechniqueofanteriortransferofthetibialisposteriortendoninirreparableperonealpalsies AT abdulahfazlic classicandmodifiedbarrstechniqueofanteriortransferofthetibialisposteriortendoninirreparableperonealpalsies |