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Scholars Journal of Applied Medical Sciences | Volume-12 | Issue-01
Functional Outcome of Tibialis Posterior Tendon Transfer to Tibialis Anterior & Peroneus Longus among Foot Drop Patients- a Prospective Study
Dr. Mohammad Moniruzzaman Monir, Prof. Dr. Krishna Priya Das, Dr. Shah Md. Samsul Hoque, Dr. Md. Bulbul Ahmed
Published: Jan. 10, 2024 | 66 59
DOI: 10.36347/sjams.2024.v12i01.007
Pages: 42-46
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Abstract
Introduction: Foot drop is described as the loss of active ankle dorsiflexion due to neurologic, systemic, or traumatic causes. The purpose of this study was to assess the functional outcome of tibialis posterior tendon transfer to tibialis anterior and peroneus longus in patients with foot drop. Aim of the study: The aim of this study was to evaluate the functional outcome of tibialis posterior tendon transfer to tibialis anterior and peroneus longus in patients with foot drop. Methods: This study was a randomized clinical trial that evaluate the results of tibialis posterior tendon transfer surgeries for patients with foot drop. The patients met certain inclusion and exclusion criteria, and gave written consent before the surgeries. The patients were followed up for six months after the surgery, and evaluated using the Stanmore assessment questionnaire and other measures. Result: The study enrolled 30 patients (26 males and 4 females) with mean age being 35.40 years. We evaluate tibialis posterior tendon transfer to tibialis anterior and peroneus longus for foot drop in the patients. After 24 weeks, all patient improved in foot dorsiflexion, eversion, function, posture, and satisfaction. 26 (86.70%) patients did not need orthosis and 28 (93.30%) had balanced foot posture with no deformity. Conclusion: The results showed all patient had significant improvement after the surgery. Therefore, this study concluded that tibialis posterior tendon transfer can be used effectively and safely for the management of foot drop.