Evaluation of outcomes of different methods of tibialis posterior transfer for foot drop correction in Hansen’s patients

Abstract

Introduction: Common peroneal nerve palsy resulting in foot drop is common in Hansen’s patients. Dynamic reconstruction involving tibialis posterior tendon transfer is considered as gold standard for restoration of normal toe-heel gait. Materials and methods: The operations were performed via interosseous and circumtibial routes for tibialis posterior transfer and outcomes were systematically analyzed.
Results: Both the procedures resulted significant functional benefits and prevented development of complications.
Conclusion: Removal of tibialis posterior tendon does not cause any deficit. The favourable results following surgical intervention are sustained in the long term. Additional Tendoachilles lengthening provided better results in selected patients.