Peroneus Longus Transfer for Drop Foot in Hansen Disease

Cohen, Jose Carlos; Cabral, Elifaz de Freitas

doi:10.1016/j.fcl.2012.06.005

Cited by 12 publications

(5 citation statements)

References 11 publications

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“…Three of the above-mentioned cohorts used both types of transfers in the same cohort. Only one cohort, Cohen J. C. et al [ 14 ], reported a transfer of peroneus longus tendon (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

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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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“…Three of the above-mentioned cohorts used both types of transfers in the same cohort. Only one cohort, Cohen J. C. et al [ 14 ], reported a transfer of peroneus longus tendon (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, dissatisfaction and insufficient mobility with the orthosis was a common or even decisive indication for surgery in the cohorts analyzed. Therefore, these cohorts were also included [14,20,25,[35][36][37].…”

Section: Outcome Measuresmentioning

confidence: 99%

Tendon transfer in foot drop: a systematic review

Stevoska

Pisecky

Stadler

et al. 2021

Arch Orthop Trauma Surg

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“…Standard transfer is a TP transfer to the dorsum of the foot (6). Flexors are typically used in leprosy patients (FDL) (3,4) or to supplement TP transfer (FHL) (9). Patient with no functioning TP presents a special challenge, and typically arthrodesis is an offered option (10).…”

Section: Discussionmentioning

confidence: 99%

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior

Boszczyk¹,

Kordasiewicz²

2017

ACHOT

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digitorum longus (EDL), peroneus longus (PL) and peroneus brevis (PB) revealed no function (MRC=0 (15)), while testing of FHL and FDL revealed full (MRC=5) strength. The TP was not functioning (MRC=0) with contracture limiting pronation beyond neutral. The gastrocnemius strength was 4 with contracture limiting dorsiflexion. Supination of the foot was unrestricted. The passive range of ankle motion was (0)-5-45° (equinus contracture of 5°). There was checkrein phenomenon of the toes at the limit of dorsiflexion. On x-ray there were no signs of arthritis in the hindfoot. Patient scored 74 and 71 points in FAOQ (2) and AOFAS (8) scales, respectively. Decision processWith no return of peroneal nerve function in two years observation, neither improvement in conduction studies despite neurolysis, the nerve injury was deemed irreparable. The patient was unwilling to accept the brace and he opted for operative treatment. With no voluntary contraction of TP this tendon was deemed unsuitable for transfer. Fibrotic degeneration of TP is visible in MRI (Fig. 1). With no functioning TP, two potential motors were available -FHL and FDL. We chose to transfer the FHL tendon to the dorsum of the foot. Operative technique and aftertreatmentThe patient was operated supine without a tourniquet (due to previous vascular reconstruction). Z-lengthening of the Achilles tendon was performed through stab incisions (18). By this maneuver 10 degrees of dorsiflexion was achieved. Dorsiflexion exacerbated the checkrein deformity of the toes. Medial approach to the midfoot

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“…Diklasifikasikan secara anatomis, penyebab umumnya mencakup; sel tanduk anterior sumsum tulang belakang/ Anterior horn cell of the spinal cord (misalnya poliomyelitis dan penyakit neuron motorik); akar saraf motoric, misalnya lesi cauda equina dan keterlibatan akar saraf lumbosakral saat keluar dari tulang belakang, biasanya dikaitkan dengan prolaps diskus intervertebralis; saraf motorik perifer sebagai bagian dari neuropati perifer difus (termasuk sindrom Guillain-Barré, polineuropati demielinasi inflamasi kronis); motorik herediter dan neuropati sensorik (misalnya Penyakit Charcot-Marie-Tooth) Keterlibatan saraf perifer spesifik yang berasal dari pleksus siatik, diantara lain; saraf siatik saat melewati panggul melalui siatic notch, melewati sendi panggul ke kaki (misalnya karena fraktur panggul dan setelah operasi panggul atau penggantian pinggul); saraf peroneum (yang menginervasi evertor dan dorsiflexors pergelangan kaki), seringkali sebagai akibat dari fraktur tungkai bawah di mana saraf melintasi kepala fibular (Sackley et al, 2015) Kusta adalah penyakit menular kronis yang disebabkan oleh Mycobacterium leprae (Cohen & de Miranda, 2020). Prevalensi kusta yang terdaftar secara global adalah 192.713 kasus (0,25/10.000 populasi) pada akhir 2017, meningkat 20.765 kasus dibandingkan tahun 2016 (Rathod et al, 2020) Setelah India, Brasil adalah negara dengan yang terbesar jumlah kasus di dunia (Cohen & de Freitas Cabral, 2012) . Cedera saraf adalah fitur utama dari pathogenesis kusta karena kecenderungan unik M leprae untuk menyerang sel Schwann dan sistem saraf perifer, menyebabkan "multipleks mononeuritis " yang berasal dari imunologis yang menghasilkan neuropati otonom, sensorik, dan motoric yang bisa permanen dan berkembang menjadi kecacata (Cohen & de Miranda, 2020) Kelainan bentuk atau deformitas pada penyakit kusta dapat lebih jauh dibagi lagi dalam deformitas fungsional dan deformitas anatomi/morfologis.…”

Section: Pendahuluanunclassified

Fisioterapi Pada Kasus Drop Foot Di Rs Kelet Donorojo Jepara: Studi Kasus

Ratnasari,

Herawati,

Prihastomo

2023

fisioterapi

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Drop Foot adalah kondisi umum di mana seseorang kehilangan kendali atas dorsofleksi pergelangan kaki. Seringkali, disfungsi saraf peroneal umum (Common Peroneal Nerve) menyebabkan kelumpuhan otot dorsofleksi pergelangan kaki termasuk; tibialis anterior, dorsi flexors jari kaki, ekstensor digitorum brevis, dan ekstensor hallucis longus. Kusta adalah penyakit menular kronis yang disebabkan oleh Mycobacterium Lepra. Deformitas fungsional yang umum ditemukan pada kasus kusta adalah ulkus tangan, ulkus kaki, drop hand, drop foot dan juga claw hand. Drop foot ditemukan pada 2% hingga 5% pasien yang baru didiagnosis dengan kusta. Tujuan dari penelitian ini adalah untuk mengetahui apakah modalitas fisioterapi berupa TENS, Streching, dan Strengthening efektif digunakan dalam penanganan kasus drop foot. Dengan metode penelitian berupa case study yang dilakukan di RS KELET DONOROJO pada bulan Desember 2021. Hasil penelitian di dapatkan bahwa intervensi fisioterapi yang dilakukan selama 6 kali pertemuan menunjukkan hasil akhir berupa penurunan nyeri, peningkatan lingkup gerak sendi dan peningkatan kemampuan fungsional pasien. Drop Foot is a common condition in which a person loses control of the dorsiflexion of the foot. Occasionally, generalized peroneal nerve dysfunction causes paralysis of the dorsiflexion muscles of the foot including; tibialis anterior, dorsi flexor toes, extensor digitorum brevis, and extensor hallucis longus. Leprosy is an infectious disease caused by Mycobacterium leprosy. Functional deformities commonly found in cases of leprosy are hand ulcers, foot ulcers, drop hands, drop feet and claw hands. Foot fall in 2% to 5% of patients newly diagnosed with leprosy is found. The purpose of this study was to determine whether physiotherapy modalities such as TENS, stretching, and stretching are effective in treating drop foot cases. With a research method in the form of a case study conducted at RS KELET DONOROJO in December 2021. The results showed that the physiotherapy intervention carried out for 6 meetings showed the final result in the form of decreasing pain, increasing joint ability and increasing the patient's functional ability.

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Peroneus Longus Transfer for Drop Foot in Hansen Disease

Cited by 12 publications

References 11 publications

Tendon transfer in foot drop: a systematic review

Tendon transfer in foot drop: a systematic review

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior

Fisioterapi Pada Kasus Drop Foot Di Rs Kelet Donorojo Jepara: Studi Kasus

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