Tibialis Posterior Transfer For Foot Drop
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Tibialis posterior transfer for foot drop. Functional outcomes following anterior transfer of the tibialis posterior tendon for foot drop secondary to peroneal nerve palsy. Tpt has been extensively studied in patients with peripheral neurological causes of foot drop. Foot drop is associated with a wide variety of conditions that result in loss of dorsiflexion at the ankle. Tibialis posterior transfer was performed on 20 patients 16 males and 4 females mean age 31 4 years.
Tibialis posterior transfer tpt is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. When all three tendons are used it is called a bridle procedure. Moreover this technique is simple straight forward and allows early adjustment of foot deformity and gait disability. Foot ankle int.
Tibialis posterior to t ant and extensor digitorum tendon transfer procedure for management of foot drop in a case of common peroneal nerve palsy. Treatment includes conservative measures and surgery such as posterior tibial tendon transfer. In conclusion satisfactory results can be achieved for patients with foot drop due to cpn injury via tibialis posterior tendon transfer to the anterior compartment muscles. 21 other choices for motor are flexor digitorum longus fdl used along with the tibialis posterior to power the extensor digitorum and hallucis tendons as a double transfer.
The foot drop tendon transfer surgery only works if some of the muscles around the ankle are still working. Tibialis posterior transfer for foot drop in leprosy is credited to paul brand who worked in cmc vellore in the year 1955. Surgical restoration of drop foot posterior tibial tendonitis foot pain tendon transfers bilateral traumatic foot drop an dropfoot tendon surcerykey insights on tendon transfers for drop foot podiatry todaytibialis posterior tendon transfer corrects the foot drop co jbjskey insights on tendon transfers for drop foot podiatry todaydouble tendon transfer for correction of drop foot. A posterior tibial tendon transfer procedure can involve the posterior tibial tendon alone or transfer with two other tendons the peroneus longus and the anterior tibialis.
Commonest cause of foot drop was hansen s disease followed by post traumatic peroneal nerve damage and post injection sciatic neuropathy.
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