J Korean Orthop Assoc.  1975 Dec;10(4):466-474. 10.4055/jkoa.1975.10.4.466.

The Correction of Foot Drop in Leprosy

• Kim ID
• Ihin JC
• Lee YT

• KMID: 2471416
• DOI: http://doi.org/10.4055/jkoa.1975.10.4.466

Abstract

Foot Drop from paralysis of the muscles of the anterior and lateral compartments of the leg is common in leprosy. Many methods of correcting the functional problems associated with a foot drop have been tried with the object of providing a foot that is stable and socially acceptable. Forty three posterior tibial tendon transfer to the dorsum of the foot carried out during ten years from Jan. 1965 to May 1975. Forty-three operations were done on thirty-seven patients, twenty-nine men and fourteen women. The age of the patients ranged from sixteen to fifty-four years. Interosseous routes were used in 38 cases and circumtibial routes in 5 cases. In 39 cases, tendon to tendon insertion were performed. Following transfer of the posterior tibial tendon anteriorly, the tendon was splitted longitudinally into two. One of them inserted to anterior tibial tendon and the other to peroneus tertius by Pulvertaft method. In four cases, tendon to bone insertion into intermediate cuneiform were done. In eight cases, in addition to tibialis posterior transfer, open elongation of the tendocalcaneus by Z-plasty was done. In fifteen cases, the period of observation was for less than one year. In twenty-eight cases the period of observation was one year or more. The average period was twenty-six months. Srinivasan's rating method was adapted for evaluation of the results. In 31 cases (72.1%), restoration of active dorsiflexion were above the neutral or right-angled position. In 31 cases (74.4%), range of active movement were 25 degrees or more. In 34 cases (79.0%), they satisfied with the transfer procedure.

MeSH Terms

Female
Foot*
Humans
Leg
Leprosy*
Male
Methods
Muscles
Paralysis
Tendon Transfer
Tendons