Peroneal Nerve Dysfunction due to Multiligament Knee Injury

Werner, Brian C.; Norte, Grant E.; Hadeed, Michael M.; Park, Joseph S.; Miller, Mark D.; Hart, Joseph M.

doi:10.1097/jsm.0000000000000296

Cited by 14 publications

(11 citation statements)

References 30 publications

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“…The usual type of fixation was tendon to tendon fixation; however in recent years, a tendon to bone fixation has gained popularity [4,[19][20][21][22][23][24][25]. With the development of new implants, the attachment of the tendon graft to the bone has been improved.…”

Section: Operative Techniquesmentioning

confidence: 99%

Tendon transfer in foot drop: a systematic review

Stevoska

Pisecky

Stadler

et al. 2021

Arch Orthop Trauma Surg

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Introduction Foot drop is a disorder that impairs walking and leads to tripping and falling. Tendon transfer (e.g., tibialis posterior tendon) is a typical secondary procedure in foot drop treatment. The purpose of this systematic review was to identify the most common tendon transfer techniques for treating foot drop and to analyze the reported functional outcomes. Furthermore, it was of interest if the type of surgical technique affects the functional outcome. Methods A PubMed and MEDLINE literature search was performed according to PRISMA guidelines. The search terms used were (“tendon transfer” OR “tendon transposition”) AND (“foot drop” OR “peroneal neuropathies”). Any study published before January 2020 was considered for inclusion. No case reports or reviews were included. Common outcome measures (Stanmore score, AOFAS, FAAM, AFO use, patient satisfaction and active ankle dorsiflexion) were evaluated. The quality of the included studies was assessed using the Coleman Methodology Score. Results Of the 125 reviewed publications, 37 met the inclusion criteria. 42 cohorts were analyzed. The frequently reported tendon transfer technique was the tibialis posterior tendon transfer through the interosseus membrane. The most used fixation technique was tendon on tendon fixation; however in recent years, a tendon to bone fixation has gained popularity. There was an increase in Stanmore scores and AOFAS postoperatively and a decrease of AFO use postoperatively observed. Conclusions Due to various outcome measures and lack of preoperative assessment in the included studies, a meta-analysis of the pooled results was not possible. Nevertheless, the findings of this study show that tendon transfer increases mobility and self-independency leading to patient satisfaction. The choice of the surgical technique does not affect the outcome. A prospective collection of patient data and standardized outcome measures will be important to further analyze the efficacy of tendon transfer techniques.

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Section: Operative Techniquesmentioning

confidence: 99%

Tendon transfer in foot drop: a systematic review

Stevoska

Pisecky

Stadler

et al. 2021

Arch Orthop Trauma Surg

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“…CPN palsy can also present after direct injury to the nerve. Penetrating and direct blunt trauma, multiligament knee injuries, severe ankle inversion injuries, and fractures have all been linked to CPN injury 13,18-20 . Traumatic injuries are associated with worse outcomes compared with other causes of peroneal nerve injury 18,19 .…”

Section: Pathophysiologymentioning

confidence: 99%

Transfer of the Posterior Tibial Tendon for Chronic Peroneal Nerve Palsy

et al. 2021

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“…The etiology of these deficits include spinal injury, peripheral neuropathy, knee trauma, missed compartment syndrome, or iatrogenic nerve injury. 1 Even a subtle lack of dorsiflexion can have profound implications on gait and balance. 2 Many patients can manage this deficit with the use of an ankle-foot orthosis (AFO).…”

Section: Historical Perspectivementioning

confidence: 99%

Posterior Tibial Tendon Transfer for Drop Foot With an Accessory Navicular

Yergensen¹,

Kress²

2021

Techniques in Foot &Amp; Ankle Surgery

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Posterior tibial tendon transfer for chronic drop foot deformity can be performed to reduce a patient’s dependence on an ankle-foot orthosis. Obtaining adequate length of the posterior tibial tendon at harvest is critical for having a successful surgical outcome. The presence of an accessory navicular could limit the length of tendon available for transfer. The technique for performing a transfer of the posterior tibial tendon through the interosseous membrane in the setting of an accessory navicular is reported. Using the accessory bone to secure the transfer can lead to rapid transfer incorporation and a successful outcome. Level of Evidence: Diagnostic Level V—case report and technique guide. See Instructions for Authors for a complete description of levels of evidence.

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Peroneal Nerve Dysfunction due to Multiligament Knee Injury

Cited by 14 publications

References 30 publications

Tendon transfer in foot drop: a systematic review

Tendon transfer in foot drop: a systematic review

Transfer of the Posterior Tibial Tendon for Chronic Peroneal Nerve Palsy

Posterior Tibial Tendon Transfer for Drop Foot With an Accessory Navicular

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