Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
8
1
gregorian
2013
11
1
27
4
online
1
fulltext
en
New method for fixation point of tibialis posterior tendon transfer
Orthopedic Surgery
Orthopedic Surgery
Original Research
Original Research
<p> <strong>Background:</strong> The transfer of the tibialis posterior tendon to the dorsum of foot can restore the function of the paralyzed dorsiflexor muscles of the foot and ankle. In order to reduce the wound complication in the insertion site of tendon to bone by a plantar knop we used a new method of fixation by an absorbable screw inserted dorsally.</p><p> <strong>Methods:</strong> we performed this operation on 15 patients in a 3 years period. All patients had drop foot deformity due to irreversible lesions of the peroneal nerve. The inclusion criteria was the peroneal nerve palsy that was not improved after 18 months even by using nerve releasing or nerve repairing. All patients were evaluated after 6 months for ankle function and wound complications.</p><p> <strong>Result:</strong> Of 15 patients one was excluded from study. At 6 month ten patients got excellent score (66%) and 4 good score (26%) further ankle function. There was no wound complication at insertion site.</p><p> <strong>Conclusion:</strong> This simple modification for insertion site fixation had good result in restoring ankle function whiles eliminated the possibility of plantar pressure sores caused by fixation knop.</p>
Foot drop deformity, Tibialis posterior tendon, Peroneal nerve palsy.
163
167
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-593&slc_lang=en&sid=1
Ali
Yeganeh
dryeganeali@yahoo.com
20031947532846008974
20031947532846008974
No
Iran University of Medical Sciences, Tehran, Iran.
Arash
Motaghi
drarash54@yahoo.com
20031947532846008975
20031947532846008975
Yes
Hamedan University of Medical Sciences,Hamedan, Iran.
Gholamreza
Shahhoseini
gholamreza.sh@yahoo.com
20031947532846008976
20031947532846008976
No
Iran University of Medical Sciences, Tehran, Iran.
Hosein
Farahini
hoseini.f@yahoo.com
20031947532846008977
20031947532846008977
No
Iran University of Medical Sciences, Tehran, Iran.