scholarly journals Tibialis Posterior Transfer for Foot Drop: The Difference in Outcome for Two Different Attachment Sites

Cureus ◽  
2021 ◽  
Author(s):  
Muhammad Imran Khan ◽  
Owais Ahmed ◽  
Sobia Yasmeen ◽  
Rabah Saadique ◽  
Mirza Shehab A Beg
Keyword(s):  
Foot Drop ◽  
Tibialis Posterior ◽  
Attachment Sites ◽  
The Difference ◽  
Tibialis Posterior Transfer

scholarly journals Tibialis posterior transfer for foot drop due to central causes: Long-term hindfoot alignment

2019 ◽  
Vol 105 (1) ◽  
pp. 153-158 ◽  
Author(s):  
Nadine Sturbois-Nachef ◽  
Etienne Allart ◽  
Michel-Yves Grauwin ◽  
Marc Rousseaux ◽  
André Thévenon ◽  
...  
Keyword(s):  
Foot Drop ◽  
Tibialis Posterior ◽  
Hindfoot Alignment ◽  
Tibialis Posterior Transfer

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.

scholarly journals Case Series: Management of Foot Drop

2019 ◽  
pp. 1-6
Author(s):  
Isaac Olusayo Amole ◽  
Stephen Adesope Adesina ◽  
Adewumi Ojeniyi Durodola ◽  
Samuel Uwale Eyesan
Keyword(s):  
Case Series ◽  
Common Peroneal Nerve ◽  
Surgical Correction ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Corrective Surgery ◽  
Hansen's Disease ◽  
Hansen’S Disease ◽  
Tendo Achillis ◽  
Tibialis Posterior Transfer

Aim: To highlight the functional outcome of surgical management of foot drop in patients with Hansen disease. Case Presentation:  We present three cases of foot drop following Hansen’s disease that were managed surgically by Tibialis posterior transfer. The patients had preoperative physiotherapy for ten days and postoperative physiotherapy for four weeks. Their post-operative periods were uneventful and the corrections were satisfactory. Discussion: Involvement of common peroneal nerve in Hansen’s disease usually results in paralysis of the anterior tibial and/or peroneal muscles. Hansen’s disease patients with foot-drop walk with a ‘high-stepping gait’, lifting the leg high as if climbing steps even while walking on level ground. When the paralysis has been present for more than six months to one year without recovery, the best option of treatment at this stage is corrective surgery and the main aim of the corrective surgery is to restore active dorsiflexion of the foot so that the gait becomes normal. This is achieved by re-routing the tendon of Tibialis posterior muscle, brings that tendon to lie in front of the ankle and is anchored distally. If the tendo-achillis tendon is found to be tight, it should be lengthened as the first step of the Tibialis posterior transfer operation. Conclusion: Surgical correction of foot drop usually leads to restoration of active dorsiflexion of the foot thereby preventing development of secondary deformities and ulceration. Our patients were able to dorsiflex their feet after the surgical correction.

scholarly journals Transfer of Tibialis Posterior in Leprous Foot Drop

1969 ◽  
Vol 19 (1) ◽  
pp. 79-82
Author(s):  
H. Matsuda ◽  
A. Kozuma ◽  
M. Inage
Keyword(s):  
Foot Drop ◽  
Tibialis Posterior

scholarly journals Combined Suspensory and Aperture Fixation of Posterior Tibialis Tendon Anterior Transfer for Dropfoot

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0039
Author(s):  
Robbie Ray ◽  
Richard Navratil ◽  
Andrew Ogilvie ◽  
Thomas L. Lewis
Keyword(s):  
Common Peroneal Nerve ◽  
Interference Screw ◽  
Foot Drop ◽  
Tibialis Posterior ◽  
Pilot Hole ◽  
Suspensory Fixation ◽  
Peroneal Nerve Injury ◽  
Technical Modifications ◽  
Additional Stability ◽  
Aperture Fixation

Category: Other; Trauma Introduction/Purpose: Anterior transfer of the tibialis posterior tendon (TPT) can restore ankle dorsiflexion in patients with foot drop. A limitation of this procedure is the need for postoperative ankle immobilisation. We present the results of a novel dual method of TPT docking which infers immediate stability, allowing early weightbearing. Methods: 8 patients underwent 9 tendon transfers,age range of 28-52 years. 3 patients had dropfoot from common peroneal nerve injury, 6 cases were part of a complex cavovarus or spastic equinovarus correction. The TPT is passed to the dorsum of the foot through the interosseous membrane. The docking site is prepared with a bicortical pilot hole followed by unicortical overreaming. The TPT is whipstitched and an Arthrex biceps button is threaded to the sutures. The button is passed bicortical and flipped using a tension slide technique give stable suspensory fixation. Additional stability is conferred by overpassing an Arthrex biotenodesis screw giving aperture fixation. Patients are immobilised in a boot and allowed to weightbear immediately. Results: Follow up was 6 months. There was difficulty in docking of suspensory fixation in two of the early cases. These patients had aperture fixation and were immobilised non weightbearing in a cast for 6 weeks. With technical modifications, all subsequent patients had dual fixation. At 6 months there were no radiological or clinical failures of fixation. Patients without other underlying issues were able to mobilise splint free at 6 months. All patients were satisfied with their procedure. Conclusion: Aperture fixation with an interference screw has become the gold standard for TPT transfer, however, patients still need a prolonged period of immobilisation. Combined suspensory and aperture fixation is technically straightforward and seems to give more initial stability allowing early weightbearing. Further prospective studies and biomechanical studies are needed to validate this technique.

Long-term follow-up of patients undergoing tibialis posterior transfer: Is acquired pes planus a complication?

The Foot ◽  
2018 ◽  
Vol 34 ◽  
pp. 83-89 ◽  
Author(s):  
Mira Pecheva ◽  
Adam Devany ◽  
Basil Nourallah ◽  
Steven Cutts ◽  
Chandra Pasapula
Keyword(s):  
Tibialis Posterior ◽  
Pes Planus ◽  
Long Term Follow Up ◽  
Tibialis Posterior Transfer
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