The Effectiveness and Comparison of the Outcome of Tibialis Posterior Tendon Transfer to Tibialis Anterior & Peroneus Longus Versus Extensor Hallucis Longus & Extensor Digitorum Longus for Management of Footdrop

Background: Common Peroneal Nerve (CPN) palsy resulting footdrop has been reported as the most frequent lower extremity palsy. Footdrop is a disabling condition and the result of nerve repair and grafting is not promising. The aim of the study purpose of this present study was to find out the effectiveness and compairsion of the outcome of Tibialis Posterior tendon transfer to Tibialis Anterior & Peroneus Longus Versus Extensor Hallucis Longus & Extensor Digitorum longus for management of Footdrop. Material & Methods: This randomized clinical trial was conducted in the department of Orthopaedic Surgery, BSMMU, Dhaka for duration of two and half years. Thirty patients of footdrop were selected. Purposive type of non probability sampling technique was used as per inclusion and exclusion criteria. Total number of patients were divided into two groups, Group-I who treated with Tibialis Posterior tendon transfer to Tibialis Anterior & Peroneus Longus, Group-II who were treated with Tibialis Posterior tendon transfer to Extensor Hallucis Longus & Extensor Digitorum Longus. Results: A total number of 30 patients (male- 26 and female-4) were recruited in this study. Mean age was 35.4. Right foot was affected more. 80.0% cases had common peroneal nerve injuries. In Group I and II 12 (80.0%) patients had lateral aspect of knee injury, 1 (6.7%) had popliteal fossa, infront of ankle and anterior leg in Group I and 3 (20.0%) had anterior leg in Group II (p = 0.392ns). Conclusions: Outcome of both the procedures is almost same.