Botox as an adjuvant to tendon transfer for foot drop.

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Eckel, TT; Nunley, JA

Published Date

  • January 2013

Published In

Volume / Issue

  • 22 / 3

Start / End Page

  • 233 - 236

PubMed ID

  • 24063800

International Standard Serial Number (ISSN)

  • 1548-825X

Digital Object Identifier (DOI)

  • 10.3113/jsoa.2013.0233

Language

  • eng