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Transpositie van de pees van de m. tibalis posterior effectief bij een klapvoet; retrospectief onderzoek met follow-up bij 12 patiënten
| Content Provider | Semantic Scholar |
|---|---|
| Author | Breukink, Stéphanie O. Spronk, Cees A. Dijkstra, Pieter Heijbroek, E. Marck, Klaas W. |
| Copyright Year | 2000 |
| Abstract | Transposition of the tendon of the M. tibialis posterior as an effective operative treatment of a drop foot Objective. To evaluate the results of transposition of the tendon of the M. tibialis posterior in patients with a drop foot. Design. Descriptive, retrospective and follow-up investigation. Methods. Surgical treatment was carried out in 12 patients with a drop foot (9 women and 3 men, with an average age of 37 years) in the period 1986-1998. The aetiology of the drop foot was a traumatic or iatrogenic lesion of the peroneal nerve or sciatic nerve in 9 patients and in 3 patients spina bifida occulta, leprosy and a herniation of a lumbar disc respectively. None of the patients had important comorbidity. Treatment consisted of lengthening the Achilles tendon according to Huckstep, transposition of the tibial posterior tendon in two tails to the dorsomedial and dorsolateral side of the foot, and six weeks of immobilisation in plaster of Paris. Results. The postoperative period was without complications. The treatment improved the heel-toe steppage gait in all patients. None of the 10 patients who had used an orthosis preoperatively still used it at the time of the follow up. Fifty per cent of the patients acquired a dorsiflexion of the foot of more than 0o. The results were in accordance with those in the literature. Conclusion. Transposition of the tibial posterior tendon is a worthwhile alternative for those patients with a drop foot (and without important comorbidity) who cannot walk satisfactorily with an ankle-foot orthosis. literatuur 1 Pinzur MS, Kett N, Trilla M. Combined anteroposterior tibial tendon transfer in post-traumatic peroneal palsy. Foot Ankle 1988; 8:271-5. 2 Malaviya GN. Surgery of foot drop in leprosy by tibialis posterior transfer. Lepr India 1981;53:360-8. 3 Andersen JG. Foot drop in leprosy. Leprosy Review 1964;35:41-6. 4 Andersen JG. Foot drop in leprosy and its surgical correction. Acta Orthop Scand 1963;33:151-71. 5 Ober FR. Tendon transposition in the lower extremity. N Engl J Med 1933;209:193-205. 6 Selvapandian AJ, Brand PW. Transfer of the tibialis posterior in foot-drop deformities. Indian J Surg 1959;21:151-60. 7 Hove LM, Nilsen PT. Posterior tibial tendon transfer for drop-foot. 20 cases followed for 1-5 years. Acta Orthop Scand 1998;69:60810. 8 Huckstep RL. Poliomyelitis. A guide for developing countries. Edinburgh: Churchill; 1975. p. 142-5. 9 Ninković M, Sućur Dj, Starović B, Marković S. A new approach to persistent traumatic peroneal nerve palsy. Br J Plast Surg 1994;47: 185-9. 10 Richard BM. Interosseous transfer of tibialis posterior for common peroneal nerve palsy. J Bone Joint Surg Br 1989;71:834-7. 11 Lipscomb PR, Sanchez JJ. Anterior transplantation of the posterior tibial tendon for persistent tibial tendon palsy of the common peroneal nerve. J Bone Joint Surg 1961;43A:60-6. 12 Srinivasan H, Mukherjee SM, Subramaniam RA. Two-tailed transfer of tibialis posterior for correction of drop-foot in leprosy. J Bone Joint Surg 1968;50B:623-8. 13 Hall G. A review of drop-foot corrective surgery. Lepr Rev 1977;48: |
| Starting Page | 604 |
| Ending Page | 608 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| Volume Number | 144 |
| Alternate Webpage(s) | https://www.ntvg.nl/system/files/publications/2000106040001a.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
