Thursday 23 January 2014

Foot drop




Foot Drop

A condition where foot fails to dorsiflex during swing phase. Here is a case of a 6 year old child with footdrop. He has a postinjection palsy. The photos and videos are descriptive of the initial presentation and treatment that followed. Tibialis posterior was transferred to lateral cuneiform.

 

Right high stepping gait to get adequate clearance from ground.

Exposure of insertion of tibialis posterior, tendon harvested and secured with ethibond

Proximal posteriomedial incision for retrieving tendon, passed through interosseous memberane from posterior to anterior.







 

Tendon retrieved through anterior incision

Lateral cuneiform identified under Carm

Exposure of lateral cunieform

Entry made and tendon secured through cunieform using suture anchor button at bottom of sole.

 

Postoperative good functional transfer : 3 months postop

 

Gait improvement noticed 6 months postop

 Helping kids improve functionally..... 

No comments:

Post a Comment