Document Detail

Tibialis posterior transfer by interosseous route for the correction of foot drop in leprosy.
MedLine Citation:
PMID:  19137296     Owner:  NLM     Status:  MEDLINE    
This article summarises a prospective study to evaluate the long-term results produced by interosseous transfer of the tibialis posterior tendon for the correction of foot drop due to leprosy neuritis. The study was carried out in 120 feet in 69 patients. All patients had closed elongation of the tendo Achillis (ETA) before transfer of the bifurcated tibialis posterior tendon through the interosseous route to the tendons of tibialis anterior and peroneous tertius or brevis over the dorsum of feet. At final follow-up of average 24 months, all the patients with ETA had a significantly greater range of active dorsiflexion of more than 10 degrees above 90 degrees, which was not merely from the tenodesing effect. The results, in terms of improvement in gait and prevention of trophic changes, remained satisfactory. An interosseous route is preferred with split attachment to the tibialis anterior and to the peroneus brevis or tertius tendons.
R K Shah
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Publication Detail:
Type:  Journal Article     Date:  2009-01-10
Journal Detail:
Title:  International orthopaedics     Volume:  33     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-26     Completed Date:  2010-03-02     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1637-40     Citation Subset:  IM    
Department of Orthopaedic Surgery, Nepal Medical College, P.O. Box 13344, Jorpati, Kathmandu, Nepal.
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MeSH Terms
Achilles Tendon / surgery*
Casts, Surgical
Follow-Up Studies
Gait / physiology
Gait Disorders, Neurologic / etiology,  physiopathology,  surgery*
Leprosy / complications*
Longitudinal Studies
Middle Aged
Prospective Studies
Restraint, Physical
Tendon Transfer / methods*
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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