Double tendon transfer for correction of drop-foot.

Orthop Traumatol Surg Res

Service d'orthopédie B, clinique d'orthopédie, pôle des neurosciences et de l'appareil locomoteur, hôpital Roger-Salengro, CHRU de Lille, rue du Professeur-Emile-Laine, 59037 Lille cedex, France; Institut d'anatomie, faculté de médecine Henri-Warembourg, université Lille 2 - PRES Lille - Nord de France, 59045 Lille cedex, France.

Published: February 2015

Many conditions can cause foot drop, which makes walking difficult because the foot easily bumps into obstacles, or the knee must be kept more flexed than usual during the swing phase of gait, especially when going up stairs. Several techniques that have been described to correct foot drop rely on bone procedures or tendon transfer, with or without bone fixation. In this article, we describe a simple technique that is heavily used in leprosy-endemic countries and provides long-lasting results. It requires a double tendon transfer through the interosseous membrane of leg; the tibialis posterior and flexor digitorum longus are sutured to the tibialis anterior, and extensor hallucis longus and extensor digitorum longus, respectively, proximally to the extensor retinaculum.

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Source
http://dx.doi.org/10.1016/j.otsr.2014.12.005DOI Listing

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