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Foot Ankle Spec ; 5(1): 45-50, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21965582

RESUMO

OBJECTIVES: 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. MATERIAL AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.


Assuntos
Deformidades Adquiridas do Pé/cirurgia , Hanseníase/complicações , Neuropatias Fibulares/cirurgia , Transferência Tendinosa/métodos , Adolescente , Adulto , Idoso , Brasil , Criança , Estudos de Coortes , Intervalos de Confiança , Feminino , Seguimentos , Deformidades Adquiridas do Pé/etiologia , Humanos , Hanseníase/diagnóstico , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/cirurgia , Neuropatias Fibulares/etiologia , Cuidados Pós-Operatórios/métodos , Cuidados Pré-Operatórios/métodos , Amplitude de Movimento Articular/fisiologia , Recuperação de Função Fisiológica , Estudos Retrospectivos , Medição de Risco , Resultado do Tratamento , Adulto Jovem
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