Reis Felipe J J, Knackfuss Irocy, Verçosa Nubia, de Menezes Sara Lúcia, Gomes Maria Kátia
Department of Clinical Medical, Physical Therapy Service, Hospital Clementino Fraga Filho, Federal University of Rio de Janeiro-UFRJ, Rio de Janeiro, Brazil.
Foot Ankle Spec. 2012 Feb;5(1):45-50. doi: 10.1177/1938640011422952. Epub 2011 Sep 30.
The aim of this study was to access the postoperative functional results of posterior tibial tendon transfer for foot drop as a consequence of nerve palsy in leprosy.
Thirteen patients (9 males and 4 females) with ages ranging from 9 to 69 years were submitted to posterior tibial tendon transfer by the circumtibial route to correct foot drop in leprosy. The length of postoperative follow-up ranged from 1 to 5 years. The Stanmore system was used as a method for evaluating the functional results of postoperative posterior tibial tendon transfer. This system is made up of 7 different categories and the total score is 100.
According to the Stanmore system, the results were poor in 1 patient (7.6%), moderate in 2 feet (15.3%), good in 5 feet (38.4%), and excellent in 5 feet (38.4%). All the patients were satisfied with the final outcome.
The posterior tibial tendon transfer for foot drop in leprosy was efficient in restoring normal function of the foot and gait without changing foot posture. In the absence of a standardized method for assessing the results of posterior tibial tendon transfer, the Stanmore system seems to be a good tool for an objective evaluation.
本研究旨在评估因麻风病导致神经麻痹引起足下垂的患者，行胫后肌腱转移术后的功能结果。
13例患者（9例男性，4例女性），年龄9至69岁，通过环胫骨途径行胫后肌腱转移术以纠正麻风病导致的足下垂。术后随访时间为1至5年。采用斯坦莫尔系统评估胫后肌腱转移术后的功能结果。该系统由7个不同类别组成，总分100分。
根据斯坦莫尔系统，1例患者（7.6%）结果较差，2只足（15.3%）结果中等，5只足（38.4%）结果良好，5只足（38.4%）结果优秀。所有患者对最终结果均满意。
麻风病足下垂患者行胫后肌腱转移术可有效恢复足部正常功能和步态，且不改变足部姿势。在缺乏评估胫后肌腱转移术结果的标准化方法时，斯坦莫尔系统似乎是一种进行客观评估的良好工具。
