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Tendon transfers for the drop foot.

Karl M Schweitzer1, Carroll P Jones1

  • 1OrthoCarolina, Charlotte, NC, USA.

Foot and Ankle Clinics
|February 20, 2014
PubMed
Summary

Paralytic drop foot can be successfully treated by orthopedic surgeons using tendon transfer techniques. Careful patient selection and surgical planning are key to achieving good outcomes with procedures like posterior tibialis tendon transfer.

Keywords:
Bridle procedureDrop footPosterior tibial tendon transferTendon transfers

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Area of Science:

  • Orthopedic Surgery
  • Biomechanics
  • Reconstructive Surgery

Background:

  • Paralytic drop foot presents a significant surgical challenge.
  • Effective management requires a deep understanding of biomechanical and physiological principles.

Purpose of the Study:

  • To outline the principles and techniques for successful surgical correction of paralytic drop foot.
  • To discuss patient selection and preoperative planning for tendon transfer procedures.

Main Methods:

  • Review of biomechanical and physiological principles for tendon transfers.
  • Description of posterior tibialis tendon transfer and Bridle transfer techniques.
  • Consideration of adjunctive procedures like Achilles lengthening or gastrocnemius recession.

Main Results:

  • Successful outcomes are achievable with careful patient selection and meticulous surgical planning.
  • Tendon transfers, including posterior tibialis and Bridle variations, can effectively restore foot function.
  • Adjunctive procedures may be necessary for optimal results.

Conclusions:

  • Tendon transfer surgery is a viable and effective treatment for paralytic drop foot.
  • Adherence to biomechanical principles and thorough preoperative assessment are crucial for surgical success.
  • Variations of tendon transfers offer tailored solutions for patients with drop foot.