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Botox as an adjuvant to tendon transfer for foot drop.

Publication ,  Journal Article
Eckel, TT; Nunley, JA
Published in: J Surg Orthop Adv
2013

The authors' hypothesis was that weakening the gastrocnemius muscle at the time of tendon transfer will reduce the risk of rupture and facilitate faster rehabilitation with increased active dorsiflexion and improved overall outcome, because the transferred tendon is spared the antagonistic effect of the gastrocnemius during the early recovery period. A retrospective chart review identified 12 patients who underwent a tibialis posterior tendon (PTT) transfer with gastrocnemius Botox injection for foot drop. All statistical analyses were conducted using SAS version 9.2 (SAS Institute, Inc., Cary, North Carolina). There were no failures or tendon ruptures. All patients had zero dorsiflexion (DF) strength preoperatively, and those with DF strength documented postoperatively had a mean DF strength at final clinical evaluation of 3.9 (p < .001) with a mean active DF of 4°. It was concluded that gastrocnemius chemodenervation with Botox at the time of PTT transfer is a safe and effective means of restoring active dorsiflexion.

Duke Scholars

Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2013

Volume

22

Issue

3

Start / End Page

233 / 236

Location

United States

Related Subject Headings

  • Young Adult
  • Tendon Transfer
  • Retrospective Studies
  • Neuromuscular Agents
  • Middle Aged
  • Male
  • Injections, Intramuscular
  • Humans
  • Gait Disorders, Neurologic
  • Gait
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Eckel, T. T., & Nunley, J. A. (2013). Botox as an adjuvant to tendon transfer for foot drop. J Surg Orthop Adv, 22(3), 233–236. https://doi.org/10.3113/jsoa.2013.0233
Eckel, Tobin T., and James A. Nunley. “Botox as an adjuvant to tendon transfer for foot drop.J Surg Orthop Adv 22, no. 3 (2013): 233–36. https://doi.org/10.3113/jsoa.2013.0233.
Eckel TT, Nunley JA. Botox as an adjuvant to tendon transfer for foot drop. J Surg Orthop Adv. 2013;22(3):233–6.
Eckel, Tobin T., and James A. Nunley. “Botox as an adjuvant to tendon transfer for foot drop.J Surg Orthop Adv, vol. 22, no. 3, 2013, pp. 233–36. Pubmed, doi:10.3113/jsoa.2013.0233.
Eckel TT, Nunley JA. Botox as an adjuvant to tendon transfer for foot drop. J Surg Orthop Adv. 2013;22(3):233–236.

Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2013

Volume

22

Issue

3

Start / End Page

233 / 236

Location

United States

Related Subject Headings

  • Young Adult
  • Tendon Transfer
  • Retrospective Studies
  • Neuromuscular Agents
  • Middle Aged
  • Male
  • Injections, Intramuscular
  • Humans
  • Gait Disorders, Neurologic
  • Gait