23 Apr Dropfoot
Following a traumatic brain injury equinovarus deformity of the foot is the most common deformity of the lower extremities.
Every year about 1.5 million Americans sustain a traumatic brain injury (TBI) and currently about 5.3 million Americans live with disabilities from a TBI. Along with cognitive deficits, the most common physical deformity resulting from hemiplegic TBI or stroke is a spastic equinovarus (SEV) foot. This deformity makes it quite challenging for patients to walk as they are now only able to bear weight on the outside portion of the affected limb.
A surgical procedure called the Split Tibilais Tendon Transfer is very successful in correcting the SEV deformity and allowing patients to walk with a more normal gait. Most patients are able to walk brace free after this procedure. Those patient requiring a brace after this surgery will likely require a much less cumbersome brace in the form of a more appealing polypropylene ankle-foot orthosis.
Please see the intra-operative photo’s below demonstrating the progression of correction on the operating room table.