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Eliza Shaw

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Tendon transfer

Tendon transfer is commonly done for foot drop

(unable to lift the foot up)

If a suitable tendon (tibialis posterior) is available,

that tendon is cut from its attachment and brought

to the top of the foot

Can this be done for everyone with foot drop?

No. The tendon should have very good power, at least

grade 4 power. (Normal power is 5)

Will my leg be in plaster?

Yes. Your leg will be in a plaster for about 6 weeks.

What are the complications of operation?

  1. Infection
  2. Nerve damage
  3. Blood clots in the legs (DVT) and lungs (PE)
  4. Residual weakness

How will you reduce the risk of infection?

You will be given antibiotics at the time of operation.

How will you reduce the risk of blood clots?

You will be given injections to thin the


Can anything be done if the foot remains weak?

Yes. Either tenodesis or fusion of the affected joints.