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Evaluating the Function of the Foot Core System in the Elderly
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Tendon Transfers in Foot Drop.

Sridhar Krishnamurthy1, Mohamed Ibrahim1

  • 1Institute for Craniofacial Aesthetic and Plastic Surgery, SRM Institute for Medical Sciences, Chennai, Tamil Nadu, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|August 29, 2019
PubMed
Summary

Peroneal nerve injuries, common in the lower extremity, cause foot drop. Tendon transfers, like tibialis posterior transfer, are often definitive treatments due to uncertain outcomes of primary nerve procedures.

Keywords:
foot droptendon transfer for foot droptibialis posterior transfer

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Rehabilitation Medicine

Background:

  • The common peroneal nerve is the most frequently injured nerve in the lower extremity.
  • Peroneal nerve pathology leads to functional deficits including foot drop, loss of dorsiflexion, and impaired eversion.

Purpose of the Study:

  • To discuss the varied etiologies of peroneal nerve injuries.
  • To describe treatment modalities for peroneal nerve pathology.
  • To detail the rationale and technique of tibialis posterior tendon transfer as a definitive treatment.

Main Methods:

  • Review of literature on peroneal nerve injury.
  • Discussion of conservative management, steroid therapy, and surgical interventions (nerve decompression, repair, reconstruction).
  • Detailed explanation of tibialis posterior tendon transfer procedure.

Main Results:

  • Primary nerve procedures for peroneal nerve injuries have uncertain outcomes.
  • Secondary procedures, such as tendon transfers, frequently serve as the definitive treatment.
  • Tibialis posterior transfer is presented as a viable and effective reconstructive option.

Conclusions:

  • Peroneal nerve injuries present a significant challenge in lower extremity function.
  • While various treatments exist, tendon transfers are often necessary for functional restoration.
  • Tibialis posterior transfer offers a detailed and effective solution for managing the sequelae of peroneal nerve pathology.