Article

Spastic equinovarus foot is a major cause of disability for
neurorehabilitation patients, impairing their daily activities, social
participation and general quality of life. Selective tibial nerve neurotomy is a
neurosurgical treatment for focal spasticity, whose acceptance as treatment for
spastic equinovarus foot remains controversial. We performed a systematic review
of the literature to assess the efficacy of tibial nerve neurotomy as a treatment
for adult patients presenting with spastic equinovarus foot. METHODS: We queried
PubMed, Science Direct, Trip Database and PEDro databases with the following
keywords: "equinus deformity" OR "muscle spasticity" AND "neurotomy." RESULTS: We
selected a total of 11 non-randomized and uncontrolled studies, suggesting that
neurotomy could be an efficient treatment to reduce impairments in spastic
equinovarus foot patients. DISCUSSION: Our conclusions are based primarily on
case series studies. The effects of tibial nerve neurotomy had not been compared
with a reference treatment through a randomized controlled trial, which would be
necessary to increase the level of scientific evidence. Moreover, further studies using quantitative, validated and objective assessment tools are required to
evaluate the efficacy of tibial nerve neurotomy accurately based on the
International Classification of Functioning, Disability and Health from the World
Health Organization.

Langue : ANGLAIS