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KMID : 0361619720070040415
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 4 p.415 ~ p.420
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Correction of Foot Drop Utilizing the Posterior Tibialis
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林鍾宣/Lim, Jong-Sun
金洪泰/金浚/姜昌洙/金益東/Kim, Hong-Tae/Kim, Jun/Kang, Chang-Soo/Kim, Ik-Dong
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Abstract
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A clinical review was performed on 64 cases of the foot drop treated by transferof the Posterior Tibialis tendon to the dorsum of the foot at Taegu Presbyterian Hospital during the period from January, 1965 to December, 1971. The follow-up result of 42 cases were obtained from 13 weeks to 4 years and 8 months. The result are summarized as follows.
1. Among 63 patients, there were 46 males and 17 females, ranging 12 to 57 years old of age.
2. The cause of foot drop were peroneal nerve palsy due to leprosy in 61 cases, anterior poliomyelitis in 2 cases, and traumatic peroneal palsy in 1 case.
3. Of 42 cases which follow-up study was done, the degree of active dorsiflexion of the ankle were 90 degree or more in 29 cases (69.0%) and range of active movement was 25 degree or more in 31 cases (73.8%). 22 cases (52.4%) had active dorsiflexion of the ankle which was 90 or more in degree and range of active movement of the ankle which was 25 degree or more.
4. Iterosseous route was used in 26 cases and circumtibial route in 38 cases. Their end results revealed slight better in the latter method.
5. The major causes of complication were detachment at insertion site in 7 cases (53.8% of total failure). weak motor power of the Posterior Tibialis in 4 cases, and adhesions in. 2 cases.
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KEYWORD
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