A method used to access the functional outcome of tibial posterior tendon transfer for foot drop in leprosy.

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TitleA method used to access the functional outcome of tibial posterior tendon transfer for foot drop in leprosy.
Publication TypeJournal Article
AuthorsReis FJJ, Knackfuss I, Verçosa N, de Menezes SL, Gomes MK
Abbrev. JournalFoot Ankle Spec
JournalFoot & ankle specialist
Place Publisheds.l.
PublisherSAGE
Year of Publication2012
Volume5
Issue1
Pagination45-50
Publication Languageeng
KeywordsAdolescent, Adult, Aged, Brazil, Child, Cohort Studies, Confidence Intervals, Female, Follow-Up Studies, Foot Deformities, Acquired, Humans, Leprosy, Logistic Models, Male, Middle Aged, Muscle, Skeletal, Peroneal Neuropathies, Postoperative Care, Preoperative Care, Range of Motion, Articular, Recovery of Function, Retrospective Studies, Risk Assessment, Tendon Transfer, Treatment Outcome, Young Adult
Abstract

OBJECTIVES: The aim of this study was to access the postoperative functional results of posterior tibial tendon transfer for foot drop as a consequence of nerve palsy in leprosy.

MATERIAL AND METHODS: Thirteen patients (9 males and 4 females) with ages ranging from 9 to 69 years were submitted to posterior tibial tendon transfer by the circumtibial route to correct foot drop in leprosy. The length of postoperative follow-up ranged from 1 to 5 years. The Stanmore system was used as a method for evaluating the functional results of postoperative posterior tibial tendon transfer. This system is made up of 7 different categories and the total score is 100.

RESULTS: According to the Stanmore system, the results were poor in 1 patient (7.6%), moderate in 2 feet (15.3%), good in 5 feet (38.4%), and excellent in 5 feet (38.4%). All the patients were satisfied with the final outcome.

CONCLUSION: The posterior tibial tendon transfer for foot drop in leprosy was efficient in restoring normal function of the foot and gait without changing foot posture. In the absence of a standardized method for assessing the results of posterior tibial tendon transfer, the Stanmore system seems to be a good tool for an objective evaluation.

PubMed URL

http://www.ncbi.nlm.nih.gov/pubmed/21965582?dopt=Abstract

DOI10.1177/1938640011422952
Shelf markREIS 2011