Tibialis Posterior Transfer for the Correction of Foot Drop in Leprosy

Soares, D

doi:10.1302/0301-620x.78b1.0780061

Cited by 30 publications

(20 citation statements)

References 7 publications

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“…The IO route gave a much lower incidence of recurrent inversion deformity of the foot. The results, in terms of improvement in gait and prevention of trophic changes, have been reported to be satisfactory [10,14,16]. But the circumtibial (CT) route is associated with an unacceptably high rate of recurrent inversion leading to ulceration of the lateral border of the foot [1].…”

Section: Introductionmentioning

confidence: 99%

Tibialis posterior transfer by interosseous route for the correction of foot drop in leprosy

Shah

2009

International Orthopaedics (SICOT)

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This article summarises a prospective study to evaluate the long-term results produced by interosseous transfer of the tibialis posterior tendon for the correction of foot drop due to leprosy neuritis. The study was carried out in 120 feet in 69 patients. All patients had closed elongation of the tendo Achillis (ETA) before transfer of the bifurcated tibialis posterior tendon through the interosseous route to the tendons of tibialis anterior and peroneous tertius or brevis over the dorsum of feet. At final follow-up of average 24 months, all the patients with ETA had a significantly greater range of active dorsiflexion of more than 10 degrees above 90 degrees, which was not merely from the tenodesing effect. The results, in terms of improvement in gait and prevention of trophic changes, remained satisfactory. An interosseous route is preferred with split attachment to the tibialis anterior and to the peroneus brevis or tertius tendons.

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Section: Introductionmentioning

confidence: 99%

Tibialis posterior transfer by interosseous route for the correction of foot drop in leprosy

Shah

2009

International Orthopaedics (SICOT)

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“…16 Moreover, some author mentions up to 90% success of this procedure. 17 This variation can partly be attributed to the different methods used to evaluate the results of tibialis posterior transfer. In this study, the evaluation was made with the criteria developed by Carayon et al 6 Seventy five percent of our patients treated through interosseous membrane route have excellent or good results, and 80% of patients treated by anterior to tibial route attain excellent to good results.…”

Section: Discussionmentioning

confidence: 99%

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

Chaurasia¹

2019

Int Surg J

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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.

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“…However, it may result in a long-term better balanced foot with less inversion deforrnity. 14 The important outcome measures are resting angle and active dorsi-flexion angle in swing through phase, and at heel strike. The aim of TPT is the restoration of normal gait.…”

Section: Surgical Correctionmentioning

confidence: 99%