Systematic review of tendon transfers in the foot and ankle using interference screw fixation: Outcomes and safety of early versus standard postoperative rehabilitation.


Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 22 11 2020
revised: 31 12 2020
accepted: 15 03 2021
pubmed: 27 3 2021
medline: 22 2 2022
entrez: 26 3 2021
Statut: ppublish

Résumé

To compare the outcomes of early and standard rehabilitation protocols following tendon transfers in the foot and ankle using interference screw fixation (ISF). A systematic review was performed for relevant articles (1998 to 2020) reporting foot tendon transfer using ISF in adults. The primary outcome was early tendon failure. Secondary outcomes included function and complications. In total, 21 studies met the inclusion criteria, totalling 494 patients. Seven studies reported early rehabilitation protocols. The rate of early tendon failure was zero for each protocol and studies consistently reported a significant improvement in function. No differences were found comparing different rehabilitation protocols for tendon transfer for Achilles tendon pathology and foot drop. Both early and standard rehabilitation protocols are associated with high patient satisfaction and low complication rates, but currently there is a lack of evidence to support early loaded activities or motion. IV Systematic review including case series.

Identifiants

pubmed: 33766498
pii: S1268-7731(21)00048-5
doi: 10.1016/j.fas.2021.03.011
pii:
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

166-175

Informations de copyright

Crown Copyright © 2021. Published by Elsevier Ltd. All rights reserved.

Auteurs

Daniel Marsland (D)

Department of Mechanical Engineering, Imperial College London, United Kingdom; Department of Trauma & Orthopaedics, Hampshire Hospitals NHS Foundation Trust, United Kingdom. Electronic address: Daniel.marsland@hhft.nhs.uk.

Anna M Morris (AM)

Gloucestershire Hospitals NHS Foundation Trust, United Kingdom.

Anthony E R Gould (AER)

Department of Trauma & Orthopaedics, Great Western Hospitals NHS Foundation Trust, United Kingdom.

James D F Calder (JDF)

Department of Bioengineering, Imperial College London, United Kingdom; Fortius Clinic, London, United Kingdom.

Andrew A Amis (AA)

Department of Mechanical Engineering, Imperial College London, United Kingdom.

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Classifications MeSH