scholarly journals Common peroneal nerve injuries in knee dislocations: results with one-stage nerve repair and tibialis posterior tendon transfer

2002 ◽  
Vol 2 (3) ◽  
pp. 135-137 ◽  
Author(s):  
D. Garozzo ◽  
S. Ferraresi ◽  
P. Buffatti
2008 ◽  
Vol 25 (03) ◽  
pp. 157-164 ◽  
Author(s):  
Türker Özkan ◽  
Serdar Tuncer ◽  
Kahraman Ozturk ◽  
Atakan Aydin ◽  
Safiye Ozkan

2015 ◽  
Vol 26 (1) ◽  
pp. 17-19
Author(s):  
Pebam Sudesh ◽  
Deepak Kumar

Abstract Post injection foot drop is due to common peroneal nerve damage at site of injection (gluteal region) in which dorsiflexor of foot EHL, EDL and tibialis anterior are weakend or paralysed. It can be managed by reconstructive surgery; tibialis posterior tendon transfer to EHL, EDL and 2nd metatarsal. Here objective is rehabilitation of post injection common peroneal nerve palsy foot drop in a paeditaric patient. Our method and outcome measure as first rehabilitation programme for foot drop paediatric patient (common peroneal nerve palsy) thereafter reconstructive surgery of tibialis posterior transfer to EHL, EDL and 2nd metatarsal. Last we re-educate them to tibialis posterior contraction for dorsiflexion of foot. Our result was patient was able to walk similar as normal, able to elevate her toes and foot. Patient was happy and confident with her functional foot. But patient was advised to avoid heavy work, sprinting, and active aggressive game (like foot ball). Our conclusion is patient gets benefited by this procedure.


2017 ◽  
Vol 38 (6) ◽  
pp. 627-633 ◽  
Author(s):  
Byung-Ki Cho ◽  
Kyoung-Jin Park ◽  
Seung-Myung Choi ◽  
Se-Hyuk Im ◽  
Nelson F. SooHoo

Background: This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. Methods: Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. Matched controls were used to evaluate the level of functional restoration. Functional evaluations included American Orthopaedic Foot & Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAM) scores, and isokinetic muscle strength test. Radiographic evaluation for the changes of postoperative foot alignment included Meary angle, calcaneal pitch angle, hindfoot alignment angle, and navicular height. Results: Mean AOFAS, FAOS, and FAAM scores significantly improved from 65.1 to 86.2, 55.6 to 87.8, and 45.7 to 84.4 points at final follow-up, respectively. However, all functional evaluation scores were significantly lower as compared to the control group ( P < .001). Mean peak torque (60 degrees/sec) of ankle dorsiflexors, plantarflexors, invertors, and evertors at final follow-up were 7.1 (deficit ratio of 65.4%), 39.2, 9.8, and 7.3 Nm, respectively. These muscle strengths were significantly lower compared to the control group ( P < .001). No significant differences in radiographic measurements were found, and no patients presented with a postoperative flat foot deformity. One patient (5.9%) needed an ankle-foot orthosis for occupational activity. Conclusions: Anterior transfer of the tibialis posterior tendon appears to be an effective surgical option for paralytic foot drop secondary to peroneal nerve palsy. Although restoration of dorsiflexion strength postoperatively was about 33% of the normal ankle, function in daily activities and gait ability were satisfactorily improved. In addition, tibialis posterior tendon transfer demonstrated no definitive radiographic or clinical progression to postoperative flat foot deformity at intermediate-term follow-up. Level of Evidence: Level IV, retrospective case series.


1997 ◽  
Vol 17 (4) ◽  
pp. 481-485 ◽  
Author(s):  
John M. O'Byrne ◽  
Ann Kennedy ◽  
Ann Jenkinson ◽  
Timothy M. O'Brien

2016 ◽  
Vol 22 (3) ◽  
pp. 196-199 ◽  
Author(s):  
Pablo Wagner ◽  
Cristian Ortiz ◽  
Omar Vela ◽  
Paul Arias ◽  
Diego Zanolli ◽  
...  

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