Foot Drop from paralysis of the muscles of the anterior and lateral ´compartments of the leg is common in leprosy.
Many methods of correcting the functional problems associated with a foot drop have been tried with the object of providing a foot that is stable and socially acceptable.
Fourty three posterior tibial tendon transfer to the dorsum of the foot carried out during ten years+ from Ian. J965 to May 1975.
Fourty-three operations were done on thirty-seven patients, twenty-nine men and fourteen women. The age of the patients ranged from sixteen to fifty-four years.
Interosseous routes were used in 38 cases and circumtibial routes in 5 cases. In 39 cases, tendon to tendon insertion were performed. Following transfer of the posterior tibial tendon anteriorly, the tendon was splitted longitudinally into two. One of them inserted to anterior tibial tendon and the other to peroneus tertius by Pulvertaft method. In four cases, tendon to bone insertion into intermediate cuneiform were done. In eight cases, in addition to tibialis posterior transfer, open elongation of the tendo calcaneus by Z-plasty was done.
In fifteen cases, thre period of observation was for less than one year. In twenty-eight cases the period of observation was one year or more. The average period nas twenty-six months.
Srinivasan´s rating method was adapted for evaluation of the results. In 31 cases (72.1%), restoration of active dorsiflexion were above the neutral or right-angled position. In 31 cases (74.4%) ~ range of active movement were 25 degrees or more. In 34 cases (79.0%~~ they satisfied with the transfer procedure.
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