Dropfoot surgery

Tendon Transfers for Peroneal Nerve Injuries in the Multiple Ligament Injured Knee

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Posterior tibial tendon transfer is the most common surgery for paresis of the peroneal nerve (dropfoot).

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Keyword

• Paralysis of the peroneal nerve
• Dropfoot
• Posterior tibialis tendon
• Knee dislocation
• Transfer of tendons

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Analisis:

The article focuses on tendon transfer for frontal nerve injuries in the knees damaged by multiple ligaments. The aim is to discuss anatomy, pathophysiology, evaluation and treatment options for CPN injuries, particularly posterior tibial tendon transfer. The article highlights the high prevalence of CPN injuries after knee dislocations, especially with high-speed injuries and open sprains. Technical tips include performing neurolysis with excision of the fibrous spasms around the CPN and using a four-incision approach to transfer PTT. The conclusion of the article is that posterior tibial tendon transfer remains the most common surgery for CPN paralysis, offering reliable results and providing a good alternative for those cases where neural repair is unlikely to achieve normal gait.

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