Abstract

Irreparable sciatic nerve palsy is a cause of foot drop and resulting in absent or weak most of the muscles in leg. There may be dysfunctions of all tendons in the leg excepting Achilles tendon and plantaris tendon. The treatment of this atypical neurologic injury has not been defined. I reported a case of foot drop case of patient who presented with paralysis of the external popliteal sciatic nerve, The neurological exam revealed a deficit of the dorso flexion of the foot and hypoesthesia of the dorsal region of the foot concomitant with a section of the external popliteal sciatic nerve. tibialis posterior transfer gives good results in terms of normal gait, high patients, satisfaction with minimal donor site morbidity and low complication rate.

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