01441nas a2200217 4500000000100000008004100001260001300042653003100055653001100086653001200097653002000109653001200129100001300141700002100154245006200175300001500237490000700252050001500259520093500274022001401209 2012 d c2012 Sep10aGait Disorders, Neurologic10aHumans10aleprosy10aTendon Transfer10aTendons1 aCohen JC1 aFreitas Cabral E00aPeroneus longus transfer for drop foot in Hansen disease. a425-36, vi0 v17 aCOHEN 20123 a
Leprosy or Hansen's disease is a chronic infectious disease caused by the Mycobacterium leprae. Nerve injury is a central feature of the pathogenesis of leprosy that results in autonomic, sensory and motor neuropathy. One of the most common secondary disabilities caused by Hansen's disease is the drop foot and it is found in 2% to 5% of newly-diagnosed leprosy patients. Unlike the clinical picture of traumatic injury of the common peroneal nerve where both of its branches (the deep peroneal nerve and the superficial peroneal nerve) are involved, in leprosy there is the possibility of isolated involvement of the deep peroneal nerve branch, sparing the superficial peroneal branch. The article discusses the advantages of using the peroneus longus tendon transfer to the dorsum of the foot instead of the posterior tibial tendon for the correction of dropfoot in selected cases where the peroneals tendons are intact.
a1558-1934