FALLEN FOOT CORRECTION

AN EXPERIENCE REPORT

Abstract

Objectives: To expose a case of correction of fallen foot, due to fibular nerve paralysis, by transferring the posterior tibial tendon to the dorsum of the foot via the interosseous membrane and to analyze the clinical result with the proposed treatment. Materials and Methods: Case report with bibliographic review. Results: Patient, 17 years old, male, victim of a motorcycle accident, without fractures caused by trauma. It evolved with a non-actively reducing horse foot. Using a suropodalic orthosis for 6 months, there was no clinical return of function or electroneuromyographic activity of the common fibular nerve. Surgical treatment was chosen. The stitches were removed at three weeks and suropodalic immobilization was maintained for six weeks. After this period, physiotherapy was started and walking was allowed, initially with a 90 ° PVC orthosis daily for four weeks and nightly for three additional hours. In 12 weeks, the patient had improved gait and returned to his work activities. Conclusions: It is possible to obtain a good functional result, improved gait, abandoning the orthosis and improving the quality of life of patients with foot drop due to traumatic foot injury. Fibular nerve after the surgical procedure for transferring the posterior tibial tendon via the interosseous membrane.