Logo of The Journal of Bone & Joint Surgery (Br)
Joint Replacement Instrumentation Limited (JRI) Ad
Quick search:        
          Advanced Search
Guest Access | Sign In
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Srinivasan, H.
Right arrow Articles by Subramaniam, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Srinivasan, H.
Right arrow Articles by Subramaniam, R. A.

TWO-TAILED TRANSFER OF TIBIALIS POSTERIOR FOR CORRECTION OF DROP-FOOT IN LEPROSY

H. Srinivasan 1; S. M. Mukherjee 1; ; and R. A. Subramaniam 1

1 Orthopaedic Section, Central Leprosy Teaching and Research Institute, Chingleput, Madras State; Chingleput, India

1. The results of thirty-nine operations for correction of drop-foot in thirty-three patients with leprosy are discussed.

2. The procedure used was circumtibial, subcutaneous, two-tailed, tendon-to-tendon transfer of the tibialis posterior to extensor hallucis longus and to extensor digitorum longus and peroneus tertius. The motor slips were inserted into the recipient tendons on the dorsum of the foot.

3. Analysis of the results showed some correlation between the angle of active dorsiflexion and the range ofactive movement ofthe ankle. The angle ofdorsiflexion seemed to determine the range of movement.

4. When contracture of the tendo calcaneus was present, simultaneous lengthening improved the angle of dorsiflexion more than the range of active movement.

5. The causes of failure were sepsis, failure of re-education and unrecognised tightness of the tendo calcaneus.

6. The advantages of the present procedure are mentioned.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General