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Surgical Management of Foot Drop
Kyle L McCormick1, Dev Patel2, Bonnie Y Chien1
1Orthopedic Surgery Columbia University Medical Center.
Orthopedic Reviews
|February 13, 2025
Summary
Peroneal nerve palsy causes foot drop, a condition with varied causes and no single treatment. This review focuses on common surgical options for foot drop resulting from peripheral nerve injuries.
Area of Science:
- Orthopedics
- Neurology
- Neurosurgery
Background:
- Foot drop, often caused by peroneal nerve palsy, presents with ankle weakness and deformities.
- Etiologies are diverse, including central and peripheral injuries, leading to flexible or fixed foot drop.
- The lack of a universal treatment approach necessitates a review of current surgical interventions.
Purpose of the Study:
- To review and present common surgical procedures for treating foot drop.
- To emphasize surgical techniques addressing peripheral etiologies of foot drop.
- To provide an overview of treatment options for peroneal nerve palsy-induced foot drop.
Main Methods:
- Literature review of surgical procedures for foot drop.
- Focus on techniques for peripheral peroneal nerve palsy.
- Analysis of common surgical interventions and their applications.
Main Results:
- Identified and reviewed prevalent surgical procedures for foot drop.
- Detailed common surgical approaches for peripheral nerve injuries causing foot drop.
- Highlighted the variability in surgical techniques based on etiology.
Conclusions:
- Surgical management of foot drop is tailored to the specific etiology.
- Peripheral nerve surgery offers various options for peroneal nerve palsy.
- Further research may refine surgical strategies for complex foot drop cases.

