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Paralytic Valgus Deformity of the Foot TREATMENT BY REPLACEMENT OF PARALYZED TIBIALIS POSTERIOR MUSCLE: A LONG-TERM FOLLOW-UP STUDY
AMNON FRIED; SHALOM MOYSEYEV
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Department of Orthopaedics and Traumatology, Tel Aviv University Medical School, Beilinson Medical Center, Petah-Tiqva, Israel
1970 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1970 Dec 01;52(8):1674-1676
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Abstract

A long-term follow-up study is presented of twenty-cases of paralysis of the tibialis posterior treated by tendon transfer, mainly of the peroneus longus. All patients had had poliomyelitis and had severe dynamic valgus deformities at the age of two to twelve years.

In seven the correction was maintained permanently and in thirteen a valgus or varus deformity appeared. In six the new deformity appeared during the first two years after the operation. In the other seven this deformity was first noticed after an interval of three to six years. Only one of the recurrent deformities was severe and had to be reoperated on one year later. In twelve cases of slight or medium grade deformity, secondary surgical measures could be postponed until an age when final stabilization of the foot could be performed.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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