International Journal of Physical Medicine & Rehabilitation
Open Access

Thierry Gustin

Publications

• Research Article
  Split Anterior Tibialis Tendon Transfer (Splatt) and Achilles Tendon Lengthening for The Correction of The Varus Foot after Stroke a Prospective Longitudinal Study
  Author(s): Thierry Deltombe, Philippe Decloedt, Jacques Jamart, Delphine Costa, Pauline Leboul and Thierry Gustin Thierry Deltombe, Philippe Decloedt, Jacques Jamart, Delphine Costa, Pauline Leboul and Thierry Gustin
  
  Background: The imbalance between tibialis anterior and peroneus activation in the swing phase of gait after stroke is responsible for an ankle varus leading to foot instability and poor quality of gait. In such case, a split anterior tibialis tendon transfer (SPLATT) procedure is indicated to correct imbalance. The aim of the study was to prospectively evaluate the effect of the SPLATT procedure in varus foot after stroke. Methods: We prospectively evaluated 26 consecutive hemiplegic patients (mean age 48.3 ± 10.2 years) with a varus foot operated for a SPLATT and an Achilles tendon lengthening procedure with a 6 months follow-up. Before and 6 months after surgery, the spasticity (Ashworth scale), muscle strength (MRC scale), active and passive ankle range of motion, gait parameters (10 meter walking test), gait kinematics (video) and need for assistive device were assessed. R.. View More»
  DOI: 10.4172/2329-9096.S5-006

  Abstract PDF

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