Can tho transfer technique: Extensor hallucis longus to tibialis anterior tenodesis for footdrop

Ezequiel Palmanovich, Wing Ip, Em Huynh, Jeffrey Spanko, Meir Nyska, Bruce Lehnert

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Footdrop, or the inability to actively dorsiflex the foot, may result from numerous pathologic conditions, including poliomyelitis and cerebral palsy. Although the gait of patients with footdrop can be improved by performing an extensor hallucis longus (EHL) to tibialis anterior (TA) tendon transfer, the success rate of this procedure is relatively low. Methods: Seven paralytic patients with footdrop were surgically treated using a new buttonhole-type technique that involves passing a loop of the EHL through a TA split using umbilical tape and suturing at the four corners of the EHL attaching to the TA while the foot is dorsiflexed. Results: Eight years after surgery, all three patients who were available for follow-up displayed active dorsiflexion, improved mobility, and a palpable TA-EHL tenodesis, with no cockup deformity. Conclusions: This new approach, which we term Can Tho transfer, improves the mechanical strength of TA-EHL tenodesis.

Original languageEnglish
Article number6
JournalJournal of the American Podiatric Medical Association
Volume111
Issue number4
DOIs
StatePublished - 1 Jul 2021

Fingerprint

Dive into the research topics of 'Can tho transfer technique: Extensor hallucis longus to tibialis anterior tenodesis for footdrop'. Together they form a unique fingerprint.

Cite this