Combined Anteroposterior Tibial Tendon Transfer in Post-traumatic Peroneal Palsy
- 1 April 1988
- journal article
- Published by SAGE Publications in Foot & Ankle
- Vol. 8 (5), 271-275
- https://doi.org/10.1177/107110078800800510
Abstract
Posterior tibial tendon transfer to the dorsum of the foot for correction of traumatic paralytic peroneal palsy is a well-accepted treatment option. A careful review of the literature reveals that the results of treatment in this specific patient group are not always encouraging. This paper reports the results of a combined anteroposterior tibial tendon transfer in nine patients with traumatic paralytic peroneal palsy who initially used an ankle-foot orthosis to ambulate. Percutaneous tendo achillis lengthening to correct fixed ankle equinus was performed in six of the patients. At a minimal 24-mo follow-up (range, 24–56), all nine patients were brace free and subjectively felt that the surgery was successful. While the surgery was initially planned to provide an active “tenodesis” of the ankle to resist passive ankle equinus during swing phase of gait, walking electromyography revealed “retraining” of the transferred posterior tibial muscle to function as an active swing-phase ankle dorsiflexor muscle in seven of the nine patients.Keywords
This publication has 6 references indexed in Scilit:
- Surgical Management of Late Post-traumatic and Ischemic Neuropathies Involving the Lower Extremities: Classification and Results of TherapyFoot & Ankle, 1986
- An Improved Ankle-Foot Orthosis for Correction of EquinusOrthopedics, 1984
- Anterior Transfer of the Tibialis Posterior Through the Interosseus MembraneClinical Orthopaedics and Related Research, 1972
- Dual Transfer of the Posterior Tibial and Flexor Digitorum Longus Tendons for Drop FootThe Journal of Bone & Joint Surgery, 1967
- Anterior Transplantation of the Posterior Tibial Tendon for Persistent Palsy of the Common Peroneal NerveThe Journal of Bone & Joint Surgery, 1961
- THE USE OF TIBIALIS POSTERIOR AS A DORSIFLEXORThe Journal of Bone and Joint Surgery. British volume, 1957