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Old 09-22-2011, 05:45 PM   #1
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Hello, I am contemplating a posterior tendon transfer

Hello, I am contemplating a posterior tendon transfer. My anterior tibilias was removed due to complications from another surgery and I now have drop foot. I am a good candidate for the surgery I have been told, but have a little bit more risk than most so I am trying to decide if this surgery is worth it. Did you end up having it done? What strength did you gain back? Any insight would be great, thank you!

 
Old 09-22-2011, 07:37 PM   #2
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Re: Hello, I am contemplating a posterior tendon transfer

It is very rare to have the anterior tibial tendon removed. Do you mind if I ask what that initial surgery was and what the complication was? What are your risks of an additional surgery?


A dropfoot caused from anterior tibial tendon dysfunction does very well with a split posterior tibial tendon transfer. It will require a long period of non-weight bearing and plenty of physical therapy afterwards to retrain the transferred tendon. Most people get enough strength to perform normal activities. It will never be the same as your other ankle as far as strength.

 
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Old 09-22-2011, 09:24 PM   #3
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Re: Hello, I am contemplating a posterior tendon transfer

I don't mind at all! It was a freak accident really. I was running to second base in a kickball game and landed wrong causing a tibial plateau fracture. This resulted in complications from compartment syndrome. Due to the swelling I lost blood supply to my anterior tibilias and it was removed because my doctor feared I would lose my leg. I am doing well now except I have drop foot and lost one of the arteries in my leg.

I have had two doctors give the go ahead but one thinks I should not do it. Basically because the major vein that supplies blood to your leg in 95% of people is not the one where I get my major supply so this freaks him out. Also the loss of the one artery which I have been told I can survive and live a healthy life with the two remaining in my leg. I also had a major test done showing the veins in my leg are very healthy. The one who thinks I shouldn't is freaking me out because he said that a complication could be losing my leg but I don't know what % chance I have of this over other people.

That being said I hate wearing an AFO and only wear it when I will be walking all dayvlike at an amusement park. I trip sometimes and have to think while I am walking so it just has made my life more difficult emotionally and physically.

I am trying to figure out what the outcome of this surgery would be. If I still have a horrible gait and need to wear an AFO sometimes I just do not know if it is worth what I have heard can be a year to recover.

I am seeing a specialist at Johns Hopkins next week to hopefully gain more insight. I just really would love to talk to someone in my position which I have not been able to find anywhere as my situation is unique. I am 28 years old so I feel I have the strength to recover, just need to see if it is worth it. Anyway, thank you for the reply and sorry for the long winded response!

 
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