The Bridle Procedure in the Treatment of Paralysis of the Foot

Foot & Ankle ◽  
1992 ◽  
Vol 13 (2) ◽  
pp. 63-69 ◽  
Author(s):  
Raoul P. Rodriguez
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Valgus Deformity ◽  
Lateral Malleolus ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Peroneus Longus ◽  
Posterior Tibial ◽  
Anterior Tibial

The Bridle procedure consists of a posterior tibial tendon transfer through the interosseous membrane to the dorsum of the foot with a dual anastomosis to the tendon of the anterior tibial and a rerouted peroneus longus in front of the lateral malleolus. This procedure is performed to restore loss of dorsiflexion and to balance the foot, preventing a secondary varus or valgus deformity. The procedure was performed in 10 patients with 11 feet with paralysis of dorsiflexion of the foot. All are brace-free. The results are better in patients with peroneal nerve palsy secondary to trauma.

scholarly journals Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

2021 ◽  
Author(s):  
Miguel Estuardo Rodríguez-Argueta ◽  
Carlos Suarez-Ahedo ◽  
César Alejandro Jiménez-Aroche ◽  
Irene Rodríguez-Santamaria ◽  
Francisco Javier Pérez-Jiménez ◽  
...  
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Common Peroneal Nerve ◽  
Posterior Tibial Tendon ◽  
Drop Foot ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Peroneal Nerve Injury ◽  
Improve Reliability

Transfer of the Posterior Tibial Tendon for Chronic Peroneal Nerve Palsy

JBJS Reviews ◽  
2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Connor J. Wakefield ◽  
Kamran S. Hamid ◽  
Simon Lee ◽  
Johnny Lin ◽  
George B. Holmes ◽  
...  
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Posterior Tibial

scholarly journals Does Flatfoot Deformity Develop After Transfer of Posterior Tibial Tendon for the Foot Drop Secondary to Peroneal Nerve Palsy?

2016 ◽  
Vol 1 (1) ◽  
pp. 2473011416S0007
Author(s):  
Seung-Myung Choi ◽  
Byung-ki Cho ◽  
Chan Kang ◽  
Jae-Jung Jeong ◽  
Jun-Beom Kim
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Foot Drop ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Posterior Tibial

Nerve Transfers for Persistent Traumatic Peroneal Nerve Palsy

Neurosurgery ◽  
2015 ◽  
Vol 77 (4) ◽  
pp. 572-580 ◽  
Author(s):  
Franck Marie Leclère ◽  
Nicole Badur ◽  
Lukas Mathys ◽  
Esther Vögelin
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Lateral Gastrocnemius ◽  
Anterior Tibial Muscle ◽  
Nerve Transfers ◽  
Anterior Tibial

Abstract BACKGROUND: Patients in whom conventional peroneal nerve repair surgery failed to reconstitute useful foot lift need to be evaluated for their suitability to undergo a concomitant tendon transfer procedure or nerve transfers. OBJECTIVE: To report our first clinical experience with nerve transfers for persistent traumatic peroneal nerve palsy. METHODS: Between 2007 and 2013, 8 patients were operated on for foot drop after unsuccessful nerve surgery. Six patients without fatty degeneration of the anterior tibial muscle and proximal lesion of the peroneal nerve were oriented for tibial to peroneal nerve transfer. In the other 2 cases where the anterior and lateral compartments were destructed, the anterior tibial muscle function was reconstructed with a neurotized lateral gastrocnemius transfer. For each patient, we graded postoperative results using the British Medical Research Council scheme and the Ninkovic assessment scale. RESULTS: Of the 6 patients who underwent nerve transfer of the anterior tibial muscle, 2 patients had excellent results, 1 patient had good results, 1 patient had fair results, and 2 patients had poor results. Of the 2 patients that underwent neurotized lateral gastrocnemius transfer, 1 patient achieved excellent results after tenolysis, whereas 1 patient achieved poor results. After the nerve transfer, 5 patients did not wear an ankle-foot orthosis. Four patients did not limp. Four patients were able to walk barefoot, navigate stairs, and participate in activities. CONCLUSION: Early clinical results after tibial to peroneal nerve transfer and neurotized lateral gastrocnemius transfer appear mixed. The results of nerve transfer seem, on the whole, less reliable than the literature reports on tendon transfer.

Combined Rupture of the Anterior Tibial and Posterior Tibial Tendons: A New Clinical Entity

1994 ◽  
Vol 15 (9) ◽  
pp. 508-511 ◽  
Author(s):  
Tye J. Ouzounian
Keyword(s):  
Severe Pain ◽  
Tendon Rupture ◽  
Elderly Women ◽  
Valgus Deformity ◽  
Clinical Entity ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Significant Clinical Improvement

Two patients with combined rupture of the anterior tibial tendon and posterior tibial tendon are described. Both were elderly women with a gradually progressive valgus deformity of the ankle/hindfoot and severe pain. Arthrodesis procedures were performed in both patients; however, postoperative complications prevented significant clinical improvement. This combined tendon rupture is presented to document a new clinical entity.

scholarly journals Letter to the Editor: New Tendon Transfer for Correction of Drop-foot in Common Peroneal Nerve Palsy

2013 ◽  
Vol 471 (10) ◽  
pp. 3382-3382 ◽  
Author(s):  
Paolo Titolo ◽  
Bernardino Panero ◽  
Davide Ciclamini ◽  
Bruno Battiston ◽  
Pierluigi Tos
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Peroneal Nerve Palsy ◽  
Drop Foot ◽  
Letter To The Editor ◽  
Common Peroneal Nerve Palsy
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