Tibialis Posterior Tendon Transfer Corrects the Foot Drop Component of Cavovarus Foot Deformity in Charcot-Marie-Tooth Disease

2014 ◽  
Vol 96 (6) ◽  
pp. 456-462 ◽  
Author(s):  
T. Dreher ◽  
S.I. Wolf ◽  
D. Heitzmann ◽  
C. Fremd ◽  
M.C. Klotz ◽  
...  
Keyword(s):  
Tendon Transfer ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Foot Deformity ◽  
Tibialis Posterior Tendon ◽  
Charcot Marie Tooth ◽  
Charcot Marie Tooth Disease ◽  
Tibialis Posterior Tendon Transfer ◽  
Tooth Disease

Functional Outcomes Following Anterior Transfer of the Tibialis Posterior Tendon for Foot Drop Secondary to Peroneal Nerve Palsy

2017 ◽  
Vol 38 (6) ◽  
pp. 627-633 ◽  
Author(s):  
Byung-Ki Cho ◽  
Kyoung-Jin Park ◽  
Seung-Myung Choi ◽  
Se-Hyuk Im ◽  
Nelson F. SooHoo
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Control Group ◽  
Peroneal Nerve Palsy ◽  
Tibialis Posterior Tendon ◽  
Tibialis Posterior Tendon Transfer

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.

scholarly journals The role of tibialis posterior tendon transfer in foot drop by circumtibial route and evaluation of the results according to criteria

2019 ◽  
Vol 6 (8) ◽  
pp. 2880
Author(s):  
R. K. Chaurasia
Keyword(s):  
Tendon Transfer ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
P Value ◽  
Microsoft Excel ◽  
Tibialis Posterior Tendon ◽  
Medical College ◽  
The Difference ◽  
Tibialis Posterior Tendon Transfer

Background: The transfer of the tibialis posterior tendon to the anterior aspect of the ankle not only replaces the function of the paralyzed muscles, but also removes the deforming force on the medial aspect of the foot. This study was conducted to find the role of tibialis posterior tendon transfer in foot drop by circumtibial route and with evaluation of the results according to criteria.Methods: This study was conducted in MLB Medical College and Hospital, Jhansi. Patients of paralytic foot drop due to leprosy with a moderately strong tibialis posterior muscle were selected from the outpatient department of Orthopaedics and Leprosy reconstructive surgery units. After taking informed consent, detailed history was taken. Data was analyzed using Microsoft Excel and the difference was considered to be significant if ‘p’ value was <0.05.Results: Eleven patients were operated. Majority were males (82%). Eight patients (73%) had excellent and good results which were aged less than forty years. Two cases showed excellent results after corrective surgery that had deformities from 31 to 36 months before operation. Out of six patients who were taking antileprotic treatment, one (9.1%) showed excellent and three (27.3%) showed good results.Conclusions: Method of anterior transfer of tibialis posterior for correction of foot drop has given encouraging results in a fairly large percentage of cases. The greatest utility of such a transfer is that of allowing the freedom of normal mobility in comparison to bony stabilization. After correction of deformity and disability the patient’s mental health is improved.

Surgical outcomes of cavovarus foot deformity in children with Charcot-Marie-Tooth disease

2019 ◽  
Vol 29 (6) ◽  
pp. 427-436 ◽  
Author(s):  
Ting Lin ◽  
Paul Gibbons ◽  
Anita J. Mudge ◽  
Kayla M.D. Cornett ◽  
Manoj P. Menezes ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Foot Deformity ◽  
Charcot Marie Tooth ◽  
Charcot Marie Tooth Disease ◽  
Tooth Disease
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