Seventy four patients, who underwent tibialis posterior transfer between 1960 and 1970 at the Schieffelin Leprosy Research & Training Centre, were reviewed more than 10 years follow up. Sixty four patients (86.5%) improved from a high stepping gait to a heel toe gait. The foot at rest position and the range of movement which were seen after surgery were retained. Postoperative complications were minimal. Interosseous method was better than the circumtibial. Tibilais posterior tendon transfer has served the gait and foot function in the long term.

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