To assess the range and strength of dorsiflexion of the ankle and the percentage of AFO-use after executing a variation on the circumtibial route of the posterior tibial tendon transfer, performed in our center on patients with foot drop.
ID
Source
Brief title
Condition
- Peripheral neuropathies
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The need for AFO after surgery compared to before surgery.
Secondary outcome
Active dorsiflexion of the ankle after tendon transfer surgery compared to
before surgery. Furthermore, pain, range of motion of the ankle, muscle
strength of the ankle, limitations during daily life activities and
complications
Background summary
Foot drop is an invalidating loss of dorsiflexion of the ankle as a result of
damage of the peroneal nerve. For years a transfer of the posterior tibial
tendon has been a surgical options for patients with foot drop. The goal of
this type of surgery is to restore dorsiflexion limiting the dependence from
ankle-foot orthoses (AFO). Most surgeons perform a tibial tendon transfer
trough the interosseous membrane. As an alternative, the circumtibial route of
posterior tibial tendon transfers has been described in patients suffering from
leprosy. This technique is easier to perform, and has potentially similar
results with a lower complication rate. In our center, the circumtibial route
has been the standard surgical approach, but literature lacks studies in
traumatic foot drop patients. Our hypothesis is that the circumtibial route
offers a safe surgical technique that significantly restores ankle dorsiflexion
resulting in a reduced dependency on AFO.
Study objective
To assess the range and strength of dorsiflexion of the ankle and the
percentage of AFO-use after executing a variation on the circumtibial route of
the posterior tibial tendon transfer, performed in our center on patients with
foot drop.
Study design
Case series
Study burden and risks
There are no risks associated with participation.
Albinusdreef 2
Leiden 2333 ZA
NL
Albinusdreef 2
Leiden 2333 ZA
NL
Listed location countries
Age
Inclusion criteria
Patient with a drop foot due to a traumatic peripheral nerve injury treated
with a posterior tibial tendon transfer.
Exclusion criteria
• No informed consent
• Central neurological disorders (e.g. cerebrovascular events, leprosy)
• Previous surgery such as ankle arthrodeses or other operations or
disabilities influencing ankle function.
• History of a malignancy in the affected limb
• History of muscle dystrophy or metabolic disease
• History of rheumatoid arthritis
• Insufficient Dutch language skills.
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL84161.058.23 |