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

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.

More information

Type
Journal Article
Author
Reis FJ J
Knackfuss I
Verçosa N
Menezes SL
Gomes MK
Year of Publication
2012
Journal
Foot & ankle specialist
Volume
5
Issue
1
Number of Pages
45-50
Date Published
2012 Feb
Language
eng
ISSN Number
1938-7636
Call Number
REIS 2011
DOI
10.1177/1938640011422952
Alternate Journal
Foot Ankle Spec
Publication Language
eng