Hove L M, Nilsen P T
Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.
Acta Orthop Scand. 1998 Dec;69(6):608-10. doi: 10.3109/17453679808999265.
From 1991 to 1997 we performed 20 tibialis posterior tendon-transfer operations in 17 patients with drop-foot, in 11 of peripheral neurogenic origin and in 6 because of neuromuscular disease. Postoperatively, all patients could walk without an ankle-foot orthosis. At follow-up after mean 2 (1-5) years, all patients had active dorsiflexion of the foot and toes, with a median active ankle dorsiflexion of 5 degrees (-15-10 degrees). The median active plantar flexion was 40 degrees (10-45 degrees), and the total range of movement was 40 degrees (15-50 degrees). At follow-up, the gait was good in 15 and improved in 2 of the 17 patients.
1991年至1997年期间，我们对17例足下垂患者实施了20例胫后肌腱转移手术，其中11例源于周围神经源性，6例因神经肌肉疾病所致。术后，所有患者无需佩戴踝足矫形器即可行走。平均随访2（1 - 5）年后，所有患者足部和脚趾均有主动背屈，踝关节主动背屈的中位数为5度（-15 - 10度）。主动跖屈的中位数为40度（10 - 45度），总活动范围为40度（15 - 50度）。随访时，17例患者中15例步态良好，2例有所改善。
