Abstract

Objectives: To analyse and report the advantages of posterior tibial tendon transfer amongst patients with drop-foot as well as evaluate the degrees of foot biomechanical restoration and patient quality of life improvement. Methods: Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw. Results: The patients completed the Stanmore questionnaire before and after surgery to report their improvements with regard to all of the questionnaire criteria.Conclusion: The adopted surgical technique is an effective method of disease correction, with associated pain improvement, resumption of wearing shoes, elimination of the regular use of an ankle-foot orthosis (AFO), muscle strength gain, and functional capacity improvement.
 Level of Evidence IV; Therapeutic Study; Case Series.

Highlights

  • Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw

  • The adopted surgical technique is an effective method of disease correction, with associated pain improvement, resumption of wearing shoes, elimination of the regular use of an ankle-foot orthosis (AFO), muscle strength gain, and functional capacity improvement

  • Existem diversas alternativas para o tratamento dessa pa­ tologia, podendo ser adotadas medidas conservadoras, tais como uso de órteses e eletroestimulação funcional do nervo fibular, ou medidas cirúrgicas, as quais abrangem técnicas dinâmicas ou estáticas[4]

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Summary

Introduction

ABSTRACT Objectives: To analyse and report the advantages of posterior tibial tendon transfer amongst patients with drop-foot as well as evaluate the degrees of foot biomechanical restoration and patient quality of life improvement. Methods: Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw.

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