Tibialis Posterior Tendon Transfer in Post Injection Common Peroneal Nerve Palsy in a Paediatric Patient–A Case Report

JOURNAL TITLE: Indian Journal of Physical Medicine and Rehabilitation

Author
1. Deepak Kumar
2. Pebam Sudesh
ISSN
0973-2209
DOI
10.5005/ijopmr-26-1-17
Volume
26
Issue
1
Publishing Year
2015
Pages
3
Author Affiliations
    1. Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Dept. of PMR, Postgraduate Institute of Medical Education and Research, Chandigarh
  • Article keywords

    Abstract

    Post injection foot drop is due to common peroneal nerve damage at site of injection (gluteal region) in which dorsiflexor of foot EHL, EDL and tibialis anterior are weakend or paralysed. It can be managed by reconstructive surgery; tibialis posterior tendon transfer to EHL, EDL and 2nd metatarsal. Here objective is rehabilitation of post injection common peroneal nerve palsy foot drop in a paeditaric patient. Our method and outcome measure as first rehabilitation programme for foot drop paediatric patient (common peroneal nerve palsy) thereafter reconstructive surgery of tibialis posterior transfer to EHL, EDL and 2nd metatarsal. Last we re-educate them to tibialis posterior contraction for dorsiflexion of foot. Our result was patient was able to walk similar as normal, able to elevate her toes and foot. Patient was happy and confident with her functional foot. But patient was advised to avoid heavy work, sprinting, and active aggressive game (like foot ball). Our conclusion is patient gets benefited by this procedure.

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