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[Tendon transfers for peroneal palsy - functional outcome]
T Kremer1, K Riedel, G Germann
1BG-Unfallklinik Ludwigshafen, Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Plastische und Handchirurgie, Universität Heidelberg, Ludwigshafen. remrksa@aol.com
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|April 22, 2011
Summary
Tibialis posterior tendon transfer effectively restores foot extension and improves gait in patients with peroneal palsy when conservative treatments fail. However, this surgical option carries significant risks and requires careful patient selection.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Biomechanics
Context:
- Peroneal palsy often leads to significant gait disturbances.
- Conservative treatments may not be sufficient for persistent cases.
- Surgical intervention is considered when non-operative methods fail.
Purpose:
- To evaluate the efficacy of tibialis posterior tendon transfer for persistent peroneal palsy.
- To assess functional outcomes, including gait, strength, and pain.
- To determine the complication and reoperation rates associated with the procedure.
Summary:
- A retrospective analysis of 13 patients with peroneal palsy treated with tibialis posterior tendon transfer was conducted.
- The study assessed outcomes including range of motion, strength, pain, gait, return to work, and patient-reported function.
- Results showed improved gait in 12 patients without orthoses, with a mean functional score of 70.9%.
Impact:
- Tibialis posterior tendon transfer is a viable surgical option for peroneal palsy when conservative management is inadequate.
- The procedure can restore foot extension and enhance gait patterns.
- High morbidity rates necessitate careful consideration and referral to specialized centers.
