01399nas a2200265   4500000000100000008004100001260001300042653002500055653002200080653003100102653001100133653001200144653000900156653001600165653001000181100001300191700001200204700001100216700001400227245009400241300001000335490000700345520076700352022001401119       2004                            d  c2004 Jul10aBone Transplantation10aFollow-Up Studies10aGait Disorders, Neurologic10aHumans10aleprosy10aMale10aMiddle Aged10aTibia1 aQian J G1 aYan L B1 aLi W Z1 aZhang G C00aPosterior tibialis transfer for foot-drop due to leprosy: a case with 40 years follow up.  a450-20 v573 a<p>A 56-year-old male was transferred to our centre because of a relapse of leprosy neuritis in the hands. We found that the patient had received a posterior tibialis tendon transfer for correction of his left dropped foot 40 years previously. On examination active dorsiflexion of the left ankle joint was close to 0 degrees with grade 4 power of dorsiflexion, and the plantar flexion was about 35 degrees. Walking gait was almost normal. There were some scars on the plantar surface of the left metatarsal area; but with the continuous use of a soft dressing pad under the middle part of the sole, plantar ulceration has been avoided for many years even with active daily activities of the patient. The patient is very satisfied with the operative results.</p>  a0007-1226