A Method for Evaluating the Results of Tendon Transfers for Foot Drop

Yeap, Joo Seng; Singh, Dishan; Birch, Rolfe

doi:10.1097/00003086-200102000-00024

Cited by 39 publications

(47 citation statements)

References 14 publications

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“…Patients were asked about their condition before surgery and retrospective chart analysis was done (Table 2). Preoperative and postoperative data were collected according to the Stanmore system questionnaire [30], which was preferred over the American Orthopaedic Foot and Ankle Society scale because it is specifically conceived for outcome evaluation after a tendon transfer technique [10]. The results for the Stanmore grading system were classified as excellent for scores between 85 and 100, good between 70 and 84, fair between 55 and 69, and poor if the score was less than 55.…”

Section: Methodsmentioning

confidence: 99%

New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

Vigasio

Marcoccio

Patelli

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Common peroneal nerve palsy has been reported to be the most frequent lower extremity palsy characterized by a supinated equinovarus foot deformity and foot drop. Dynamic tendon transposition represents the gold standard for surgical restoration of dorsiflexion of a permanently paralyzed foot. Between 1998 and 2005, we operated on a selected series of 16 patients with traumatic complete common peroneal nerve palsy. In all cases, we performed a double tendon transfer through the interosseous membrane. The posterior tibialis tendon was transferred to the tibialis anterior rerouted through a new insertion on the third cuneiform and the flexor digitorum longus was transferred to the extensor digitorum longus and extensor hallucis longus tendons. All 16 patients were reviewed at a minimum followup of 24 months (mean, 65 months; range, 24-114 months). The results were assessed using the Stanmore system questionnaire and were classified as excellent in eight, good in five, fair in two, and poor in one. Postoperative static and dynamic baropodometric evaluations also were performed. The proposed procedure, which provides an appropriate direction of pull with adequate length and fixation, is a reliable new method to restore balanced foot dorsiflexion correcting the foot and digit drop and producing a normal gait without the use of orthoses.

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Section: Methodsmentioning

confidence: 99%

New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

Vigasio

Marcoccio

Patelli

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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“…Srinivasan et al [3] performed 39 tibial posterior tendon transfers in 33 patients and reported excellent results in 34 cases (87%) and poor results in 3 cases. The results found in the original study of Yeap et al, [8] using the Stanmore System, showed that 11 of 18 (61%) patients had excellent or good results, and the average score was 67.2. Felipe JJ.…”

Section: Discussionmentioning

confidence: 92%

“…The Stanmore system was shown to be useful in the assessment of the preoperative and postoperative outcomes of tibial posterior tendon transfer. [8,9] Andersen, [10] in a study with 108 patients had following results: 72 had excellent or good results (66%), 30 had fair results, and 6 had poor results. Srinivasan et al [3] performed 39 tibial posterior tendon transfers in 33 patients and reported excellent results in 34 cases (87%) and poor results in 3 cases.…”

Section: Discussionmentioning

confidence: 96%

“…All patients were subjected to follow up study at the end of 6 th , 12 th , 18 th and 24 th weeks. Pre and post operative data were collected according to the Stanmore system questionnaire [8,9] , which was preferred over the American Orthopaedic Foot / Ankle Society scale because it is specifically conceived for outcome evaluation after tendon transfer technique. Results for the Stanmore grading system were classified as excellent, good, fair and poor depending upon the scoring points.…”

Section: Methodsmentioning

confidence: 99%

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Postoperative Functional Results of Posterior Tibial Tendon Transfer for Foot Drop as a Consequence of Nerve Palsy in Leprosy

2016

AIMDR

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Background: The aim of this study was to access the postoperative functional results of posterior tibial tendon transfer for foot drop as a consequence of nerve palsy in leprosy. Methods: sixteen patients (13 Male and 3 females) with ages ranging from 14 to 47 years (mean=27.56 ± 8.41 years) were submitted to posterior tibial tendon transfer by the circumtibial route to correct foot drop in leprosy cured patients. The operated patients were followed up on the end of 6 th , 12 th , 18 th and 24 th weeks. The Stanmore system was used as a method for evaluating the functional results of postoperative tibialis posterior tendon transfer. This system is made up of 7 different categories and the total score is 100. Results: According to the Stanmore system, the results of 62.5% of patients i.e., 10 patients out of 16 had very good result. More so 12.5% of them (two out of sixteen) had shown good results, whereas other patients i.e., 12.5% of them had fair results. Rest 12.5% of them had poor results. All the patients were satisfied with their near normal gait pattern. Conclusion: The posterior tibial tendon transfer for foot drop in leprosy cured patients is efficient in restoring normal function of the foot and achieving "heel to toe" gait pattern without changing foot posture. In the absence of a standardized method for assessing the results of posterior tibial tendon transfer, the Stanmore system seems to be a good tool for an objective evaluation.

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“…Numerous papers [2][3][4][5][6]9] play on the ''reins'' concept in order to obtain a balanced foot dorsiflexion. Several bone attachments have also been tested (first, second, third cuneiform, cuboid, and the base of the fifth metacarpal bone).…”

mentioning

confidence: 99%

Reply to Letter to the Editor: New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

Vigasio

Marcoccio²

2013

Clinical Orthopaedics &Amp; Related Research

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Titolo and colleagues proposed a modified version of Vigasio tendon transfer [7,8] in which surgeons reroute only half of the anterior tibialis tendon. The remaining half of the anterior tibialis tendon is used as a rein to ''improve in dorsiflexion the correct balance of pronation/supination of the foot especially when the exit hole of the transosseous tunnel at the third cuneiform is not perfectly centered on the axis of the ankle,'' according to Titolo and colleagues' letter to the editor.The basis for their proposal is not new. Numerous papers [2-6, 9] play on the ''reins'' concept in order to obtain a balanced foot dorsiflexion. Several bone attachments have also been tested (first, second, third cuneiform, cuboid, and the base of the fifth metacarpal bone). Goh and colleagues [1] demonstrated that the ideal tendon insertion to achieve a balanced foot dorsiflexion is on the third cuneiform.

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A Method for Evaluating the Results of Tendon Transfers for Foot Drop

Cited by 39 publications

References 14 publications

New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

Postoperative Functional Results of Posterior Tibial Tendon Transfer for Foot Drop as a Consequence of Nerve Palsy in Leprosy

Reply to Letter to the Editor: New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

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