Evidence map›Paper›PMID 31740994›Full record

ArticleInternational orthopaedics2020

Modified split tendon transfer of posterior tibialis muscle in the treatment of spastic equinovarus foot deformity: long-term results and comparison with the standard procedure.

Marko Aleksić, Zoran Baščarevic, Vladan Stevanović, Jelena Rakočević, Andreja Baljozović, Goran Čobeljić

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. [Effectiveness of tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Marko AleksićInstitute for Orthopedic Surgery "Banjica", 28 Mihaila Avramovića Street, Belgrade, Serbia. marko.aleksich@gmail.com.ORCID http://orcid.org/0000-0001-7088-0267
Zoran BaščarevicInstitute for Orthopedic Surgery "Banjica", 28 Mihaila Avramovića Street, Belgrade, Serbia.
Vladan StevanovićInstitute for Orthopedic Surgery "Banjica", 28 Mihaila Avramovića Street, Belgrade, Serbia.
Jelena RakočevićInstitute of Histology and Embryology, School of Medicine, University of Belgrade, Belgrade, Serbia.
Andreja BaljozovićInstitute for Orthopedic Surgery "Banjica", 28 Mihaila Avramovića Street, Belgrade, Serbia.
Goran ČobeljićInstitute for Orthopedic Surgery "Banjica", 28 Mihaila Avramovića Street, Belgrade, Serbia.
University of Belgrade · RSInstitute of Orthopedics Banjica · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSplit tendon transfer of tibialis posterior (SPOTT) is a treatment option for the hindfoot varus deformity in patients with cerebral palsy (CP). The purpose of this study was to present the long-term results of the newly modified SPOTT procedure developed by our senior author and compare it with the standard SPOTT technique in equinovarus foot deformity due to CP.

methodOur retrospective cohort study included patients with spastic foot deformity due to CP treated with the standard or modified SPOTT technique. Patients' age at the time of the surgery was ≥ five years with follow-up period of at least four years. Surgical outcomes were evaluated using Kling's criteria during the patient's last follow-up visit.

resultsThe analysis included 124 patients (146 feet), where 105 feet were treated by the standard SPOTT technique and 41 feet by the modified SPOTT technique. Patients' median age at the time of the surgery was 11 years. Patients were followed-up for a median period of eight years during which the modified SPOTT technique showed significantly better surgical outcomes compared with the standard group (excellent/good results in 38 feet, 92.7%, vs. 79 feet, 75.2%, p = 0.02). Two groups of patients did not significantly differ in GMFCS level, age at the time of the surgery, or patient gender. There was similar distribution in CP patterns in the standard and modified groups; spastic hemiplegia was the most prevalent form, followed by spastic diplegia and spastic paraplegia. Overall, better surgical success was achieved in patients with GMFCS levels I-III (100%, 94.8%, and 69.8%, respectively). SPOTT procedure failure was frequently noticed in patients with GMFCS level IV (90.9%).

conclusionThe modified SPOTT procedure demonstrated efficiency and safety in patients with equinovarus foot deformity due to CP during the long-term follow-up. Compared with the standard procedure, the newly modified SPOTT technique showed significantly better surgical outcome, irrespective of the patients' gender, age, initial GMFCS level, and CP type.

Indexed as

AdolescentCerebral PalsyChildClubfootFemaleFollow-Up StudiesHemiplegiaHumansMaleMuscle SpasticityParalysisRetrospective StudiesTendon TransferCerebral palsyModified techniqueOutcomesSpastic equinovarus footSplit posterior tibialis tendon transferSurgery

Identifiers

PMID31740994
OpenAlexW2989597610

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.