Yeap J S, Birch R, Singh D
Faculty of Medicine and Health Sciences, University Putra Malaysia, Kuala Lumpur.
Int Orthop. 2001;25(2):114-8. doi: 10.1007/s002640100229.
Twelve patients with drop-foot secondary to sciatic or common peroneal nerve palsy treated with transfer of the tibialis posterior tendon were followed-up for a mean of 90 (24-300) months. In 10 patients the results were 'excellent' or 'good'. In 11 patients grade 4 or 5 power of dorsiflexion was achieved, although the torque, as measured with a Cybex II dynamometer, and generated by the transferred tendon, was only about 30% of the normal side. Seven patients were able to dorsiflex their foot to the neutral position and beyond. The results appeared to be better in men under 30 years of age with common peroneal palsies. A painful flatfoot acquired in adulthood does not appear to be a significant long-term complication despite the loss of a functioning tibialis posterior tendon.
12例因坐骨神经或腓总神经麻痹继发足下垂的患者接受了胫后肌腱转移术治疗，平均随访90（24 - 300）个月。10例患者的结果为“优秀”或“良好”。11例患者实现了背屈肌力4级或5级，尽管用Cybex II测力计测量，转移肌腱产生的扭矩仅约为正常侧的30%。7例患者能够将足部背屈至中立位及以上。30岁以下患有腓总神经麻痹的男性患者结果似乎更好。尽管失去了功能正常的胫后肌腱，但成年后获得性疼痛性平足似乎并不是一个严重的长期并发症。
