Results of Combined Transfer of Tibialis Anterior Tendon and lateral column shortening in Treatment of Equino Cavo Varus Foot in Children
- 1Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt
Abstract
Background: Children's equino cavo varus deformity is a complicated foot deformity brought on by an imbalance in the muscles and hyperactivity of invertor muscles like the tibialis anterior and posterior. It can cause gradual functional limitation, difficulty wearing shoes, and disruption of gait. In situations that are resistive or inflexible, surgical treatment is frequently necessary to restore a plantigrade, painless, and functional foot. Methods: This prospective randomized study was conducted on 12 children with equino cavo varus foot deformity at Zagazig University . Patients aged 4–11 years underwent combined lateral column shortening and tibialis anterior tendon transfer. Clinical, radiological, and functional assessments were performed preoperatively and postoperatively, with follow-up for one year. Statistical analysis was performed using SPSS version 27. Results: The mean age was 8.25 ± 1.96 years. Significant improvement was observed in radiological parameters including lateral talo-first metatarsal angle, anteroposterior talo-first metatarsal angle, and calcaneal pitch angle (p = 0.001). Postoperatively, 91.7% of patients showed improved walking ability. According to Palmar & Garceau criteria, 83.3% achieved excellent or good outcomes. Kling score showed satisfactory results (excellent or good) in 83.3% of patients. Recurrence occurred in 16.7% and overcorrection in 8.3% of cases. Conclusion: Combined lateral column shortening and tibialis anterior tendon transfer is an effective surgical technique for correction of equino cavo varus deformity in children, providing significant clinical and radiological improvement with acceptable complication rates.
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BibTeX
@article{balhaj2026results,
title = {{Results of Combined Transfer of Tibialis Anterior Tendon and lateral column shortening in Treatment of Equino Cavo Varus Foot in Children}},
author = {Muhammad Balhaj and Mohamed Elzohairy and Ahmed AbdelWahab and Sherif El Aidy},
journal = {Zagazig University Medical Journal},
year = {2026},
month = oct,
doi = {10.21608/zumj.2026.531356.4846},
url = {https://doi.org/10.21608/zumj.2026.531356.4846},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Results of Combined Transfer of Tibialis Anterior Tendon and lateral column shortening in Treatment of Equino Cavo Varus Foot in Children
AU - Muhammad Balhaj
AU - Mohamed Elzohairy
AU - Ahmed AbdelWahab
AU - Sherif El Aidy
PY - 2026
DA - 2026/10/25
JO - Zagazig University Medical Journal
DO - 10.21608/zumj.2026.531356.4846
UR - https://doi.org/10.21608/zumj.2026.531356.4846
AB - Background: Children's equino cavo varus deformity is a complicated foot deformity brought on by an imbalance in the muscles and hyperactivity of invertor muscles like the tibialis anterior and posterior. It can cause gradual functional limitation, difficulty wearing shoes, and disruption of gait. In situations that are resistive or inflexible, surgical treatment is frequently necessary to restore a plantigrade, painless, and functional foot. Methods: This prospective randomized study was conducted on 12 children with equino cavo varus foot deformity at Zagazig University . Patients aged 4–11 years underwent combined lateral column shortening and tibialis anterior tendon transfer. Clinical, radiological, and functional assessments were performed preoperatively and postoperatively, with follow-up for one year. Statistical analysis was performed using SPSS version 27. Results: The mean age was 8.25 ± 1.96 years. Significant improvement was observed in radiological parameters including lateral talo-first metatarsal angle, anteroposterior talo-first metatarsal angle, and calcaneal pitch angle (p = 0.001). Postoperatively, 91.7% of patients showed improved walking ability. According to Palmar & Garceau criteria, 83.3% achieved excellent or good outcomes. Kling score showed satisfactory results (excellent or good) in 83.3% of patients. Recurrence occurred in 16.7% and overcorrection in 8.3% of cases. Conclusion: Combined lateral column shortening and tibialis anterior tendon transfer is an effective surgical technique for correction of equino cavo varus deformity in children, providing significant clinical and radiological improvement with acceptable complication rates.
SN - 2357-0717
SN - 1110-1431
ER -