Transfer of the Posterior Tibialis on the Lateral Cuneiform in Paralysis of the Elevator Muscles of the Foot

Coulibaly Kalifa¹*, Traoré S¹, Sanogo CO1¹, Diallo A¹, Djiré I_¹, Keïta G¹, Diallo S², Tambassi S¹ and Berthé M¹

Published: June 01, 2022

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Abstract  

The paralysis of the foot elevators is a common condition with a variety of etiologies. The transfer of the posterior tibialis on the lateral cuneiform constitutes the surgical gesture of reference to compensate for the deficit of the elevators of the foot.
Objective
The aim of this work was to evaluate the result of the transfer of the posterior tibialis on the lateral cuneiform. 
Patients and Method
This was a descriptive retrospective study from January 2006 to December 2021. During the study period, we operated on 07 patients with paralysis of the foot elevators at the Regional Hospital of Kayes and at the University Hospital of Kati. The results were assessed according to the raising and maintenance of the plantigrade position of the foot.
Results
The use of the aforementioned judgment criteria allowed us to classify our Patients into four very good results, two good results and one poor result. The only bad result was hind foot varus with posterior tibialis side 4.
Conclusion
The transfer of the posterior tibialis on the lateral cuneiform ensures the effective raising of the foot. Postoperative rehabilitation is an integral part of the therapeutic protocol to restore the transferred muscle to its initial strength.

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