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Hi Brent.
I'm so very sorry to hear of your injury. Did they suspect the foot drop at the time of your injury? Were you in a foot brace from the beginning? My foot drop was diagnosed a few days after my injury in Oct 03.. I was told I had to wear a foot brace 24 hours a day 7 days a week or my foot would do the "ballerina point" and it would be permanent. That news alone made me a faithfull brace wearer. Last July I stopped wearing the brace at night (have to wear it during the day just to walk) and have recently notice my foot starting to "point". I am starting back with the night brace. I had 2 EMG's and was told the nerve wasn't regenerating. The surgical option I was given was a "posterier tibial tendon transfer" that would take place approx 18 months from the date of injury. The surgery would lock the foot in a 90 degree angle hopefully allowing me to not have to wear the brace. I was in PT for 4-4 1/2 months 3 days a week. I was told to do heal stretches every day several times a day just to keep the achilles tendon from shrinking.
Do you have nerve pain from the foot drop? It took several months of trying different meds to find the one that would help me. Finally finding the pain relief in Elavil.
In my attempt to find answers, i've chatted to several people on this board who share our type of injury. Hopefully you hear from more of them.

Best of luck.
Cindy
hello everyone!

in aug 05 i was playing softball and dislocated my left knee rupturing my acl, pcl, acl and had extensive nerve damage resulting in a drop foot on my left foot. it took a year and a half to have the surgery to fix my knee and i am still left with a foot drop. i recently went to the doc who informed me that the nerve was shot and recommended a tendon transfer surgery but giving me little hope of returning back to the way i was pre injury. he said i had a 50% chance of being able to move my foot up at all and that the other time it might just be locked almost in a 90 degree angle. this it seems would solve my foot drop problem but would limit other areas mostly not being able to push my foot back down as far as it was before the tendon transfer. he wants to set up the surgery date in a few weeks but i have not given him the go ahead yet. i have been unable to find suffient evidence online on the success rates with this surgery and was wondering if anyone on here has had the surgery themselves and what kind of progress they have had. also, any info on the surgery would be appreciated as well!

thank you
Hi everyone. In December 2002 I was injured during a football game (soccer for our American cousins!) I snapped my anterior cruciate, my lateral (the one on the outside of the knee) ligament and almost severed the peroneal nerve (I was 22 at the time and playing at semi-pro level). I had the knee re-construction done immediately and that was a good success my knee is very solid, but still suffered from foot drop. In August 2003 I underwent a nerve graft operation, i was cut from my ankle right upto half way up my hamstring, they grafted sensory nerves from my ankle and transplanted them into the peroneal nerve. That was 4 years ago and the foot is still exactly the same, no movement what so ever. For the past 4 years or so I have worn a splint (not sure of the name) which runs down the back of my calf and underneath the sole of my foot, this slots into most shoes that I have and allows me to walk just fine, my balance is a bit suspect sometimes especially after a couple of glasses of wine (or is that just coincidence?!!). Unfortunately I cant wear flip flops though! However, I live in England so there is not a great requirement for this sort of footwear anyway!! My splint is a white colour, which isnt a great confidence booster when wearing shorts. So last night I went on the web to look for something a little more sporty when I stumbled upon [url]www.#############.com[/url] - I wish I had been told about this surgery (the nerve transfer) 4 years ago, it looks a lot more promising than grafting. However, while looking at the website I read about the tendon transfer which I had never heard of before. I'm wondering whether it would be a good option for myself, although reading on here there seems to be a few sceptics about it. Anybody had or know of any positive results arising from it? It is not a nice thing to go through at all but we must take some positives out of it or we will drive ourselves crazy. I have always been sport crazy sometimes to the detriment of my family and love life as well as to my schooling. For me, the injury has allowed me to concentrate on my studies and an alternative career as well as spending time with my wonderful wife who has helped me incredibly through it all. Not to mention my golf game and handicap has come on amazingly!!! Good luck everybody!! Andrew.
[QUOTE=Lynn1991NY;2853910]I am 6 weeks post op tendon transfer. Do not know if the original posters are still following this. if they are, I would love to know what they did such as surgery etc?[/QUOTE]

hi i just also had to surgery for the drop foot and was wondering how your recovery went and your results. I am currently in a walking cast about 7 1/2 weeks out from surgery. I really nerve/excited to see the results.
[QUOTE=smartin37;3235168]hey gmac and kippa, i was told by one surgeon about the whole opposite reaction that if you think up it will go down but with my surgery i dont think its going to be like that. my surgery was called a bridle surgery where the took part of 3 tendons, 2 towards the back of my ankle and one on the side running up towards my big toe. they then put them all from my bone on my calf just above the ankle ot the top of my foot like a brldle for a horse. this is to keep my foot at 90 degrees at all times like an internal AFO. i go back on the 19th to see the results and have an MRI. I was in the hospital for one night. I have a 10 wk recovery with 5 weeks on crutches and the last 5 walking. I feel great now but i must admit the first 2 weeks were no fun. THe pain coming out of the surgery was pretty bad but was controlled soon. There wasn't too much pain just soreness after the first 2 days. I had my surgery done at Stanford Hospital in California with a great doctor, Loretta Chou. I highly suggest her but want to wait til i see the results to fully suggest her. I think that we all should have a chance to fix this stupid nerve problem, im only 21 years old and dont want to have to deal with it the rest of my life so this was the best bet![/QUOTE]

hi smartin, thanks for all the information and good luck going forward. i hope you will come back on here and post your progress as it would be great to hear how you're getting on.

all i know about my planned op is that they will take a tendon from the back of my leg and move it to the front. or maybe the other way around! as you can see i'm not awash with information. :D

i was told my foot would be in plaster for 6 weeks and then maybe i would need a foot walker or something for a few weeks after that. the op is due to take a few hours and then a night in hospital.

i actually had my accident where i suffered the drop foot 13 yrs ago but only discovered tendon transfers earlier this year - just wish someone had mentioned it sooner! i'm told the worst that can happen is the transfer doesnt take and its back to the status quo. at least i get 6 weeks off work if nothing else :jester:

kippa - would be good to hear your progress too.
hello again everybody. i had a tendon transfer done on july 17th of this year and i am having good results. the surgery lasted about 3 hours and i stayed in the hospital just one night. i originally injured myself in august of 05 playing softball. i dislocated my left knee and ruptured my acl, pcl, and lcl. right after the injury the doctors told me i had drop foot. it took me a year before my knee surgery and then 7 more months to have the tendon transfer done. they made five incisions on my foot. 1 cut on teh right side of my left foot, 1 directly up from the first on on teh side of my calf, 1 where the ankle meets the leg in the middle, 1 cut on the left side of my left foot and they also cut part of my calf to allow for my foot to come back up to a 90 degree angle.( my achilles had become shorter and thicker from not stretching it everyday.) it seems they took two tendons from the first cut and tied it into the middle of my leg down to the middle of the foot right above pinky toe and the one next to it. this helps pull it up from the left side as opposed to from the big toe side. i spent 6 weeks in a plaster cast without any weight bearing at all. i then got a walking boot after the sixth week and was able to walk on the foot. i also had to go for 2 months of physical therapy which i am wrapping up this week in fact. i have noticed increased strength and stability after having this procedure done. i have not tripped yet which was a big problem before the surgery. and i am able to pull my foot up somewhat. they say i should be able to pull it up a little more once i regain some muscle strength in my leg. you will not be able to point your foot down like you probably could before the surgery but there is some downward movement, but this is to be expected since they took tendons and moved them to hold your foot up, you should expect it to be hard to push them back down. i am really pleased i had this surgery done and i hope this help somebody. i hope you all get better and are able to resume some of your activities in the future that u may have lost in the past.
[COLOR="DarkRed"][FONT="Arial"][B]After reading all of this thread, I must admit that I'm quite a bit more worried than I was before. I had right total hip replacement surgery on 9/11/07 and my sciatic nerve was stretched by the retractor. I've had total drop foot since then with no improvement. I can feel just a bit on the inside of my foot, ankle and calf but I can't move any toes or my foot. I have been in a custom-made white plastic AFO since 11/26 and it does allow me to walk slowly and drive. I'm grateful to have it!!

My orthopedic surgeon has told me that we will have a nerve conduction survey and EMG at 6 months if there is no improvement but now I'm wondering if that might be too late. He told me that I might be a candidate for a tendon transfer so I started researching that. In the process, I found a website of a plastic surgeon in Houston who does nerve transfers, a part of the tibial nerve transferred to the peroneal nerve. He states that the tibial nerve allows for "stepping on the gas" while transferring only part of it to the peroneal nerve would allow for the "lifting up" on the gas pedal. I'm not sure that would even work for me because my tibial nerve obviously isn't working since I can't press my foot down. He states that surgery should occur between 4-6 months post injury for best results and I'm currently about 3.5 months post-op. If he's correct, I don't have a lot of time.

One other thing that may be complicating matters is the fact that at the time of surgery, I also contracted a non-MRSA infection in the wound. They opened me back up 2.5 weeks after the initial surgery to irrigate and debride the wound. Samples were taken of the joint itself and staph was present there. That's why my surgeon believes that the infection started in the operating room. It showed itself very quickly and was deep in the joint. A person on another forum who's gone through having an infection post-total hip replacement stated that the inflammation in the joint could be inhibiting the natural repair of the nerve because it travels through that inflamed area.

Do any of y'all have any experience with this? I don't have an injury as y'all have per se but rather a simple stretching of the nerve. However, I have read that the higher up the injury, the less likely the nerve is to repair itself. I don't regret having my hip replaced because I now have no pain in the joint itself and my lower back is much better. I have maintained almost complete optimism throughout all of this but after reading what y'all have said here, I'm feeling discouraged for the first time. I'm going through some personal issues as a result of my Mom's death last January and my father turning ugly toward me so my faith and my wonderful husband and brother have kept me going. I guess I've refrained from doing much research until now because I was afraid of getting discouraged. I want to have hope and I want to be able to accept whatever God's will is for me. I'm 38 and didn't marry my wonderful husband until the age of 36. It took quite a bit of time for God to send me my husband. We put off trying to have children until I got my hip fixed and now we can't try until we get the infection cleared up. I don't want to try to get pregnant if I might be looking at a surgery that can't be put off for 9 months. I'll be in the position of choosing my child over my foot and the answer to that is unquestionably my child. I really don't know what to do or what to expect so I would sincerely appreciate any advice or information any of y'all have to give.

I wish the absolute best to all of y'all,
Rebecca in Texas[/B][/FONT][/COLOR]
Hi everyone. I was doing a search and found this thread that I posted to a long time ago. I am now 1 yr and 1 month post op tendon transfer on my drop foot with mixed results. I had to have a small revision surgery this past November because the screw in the top of my foot was coming out. It should have dissolved post op but did not so the surgeon when in, tightened some tendons and put in a new screw.

I still choose to walk with a brace which is not where I hoped to be. I just feel after an hour or even less, I have my foot feeling very tired and I have to work too hard to walk.

I see my surgeon on Tuesday and will share my complaints but I am sick and tired of PT and tired of this whole condition that I have had to deal with for over 2 years....sorry for the frustration but at 36, this is not what I wanted to deal with after all the surgeries to try and fix it.

If people have questions about the surgery or recovery, feel free to ask.
[QUOTE=kippa10;3441273]Hello everyone,

Just thought i would drop you a line to update you on my situation. I am going in for my tendon transfer on tuesday (19th feb 08), i am due to be in for a 2 night stay. following my meeting with the second surgeon he advised me that a tendon transfer which would allow me to dorsi flex (lift up) my foot again would not be suitable in this case, as he would have to cut the only two healthy tendons i have around the foot / ankle area. He also mentioned that that type of transfer sometimes kicks the foot out to the side due to the tendons being too tight.

He is going to perform a static tendon transfer which will basically act as an internal AFO. the tendons will be brought up either side of the leg (bringing the foot into a 90 degree position) akin to the bridals on a horse. he will then drill through my tibia and thread the tendons through the hole before suturing them to the bone, this will keep the foot horizontal.

the worse case scenario is that i end up as i am now, with foot drop and wearing an AFO. It will be 6 weeks in plaster and 4 weeks in an ankle walking boot. there is no physio required with this procedure as it is static and doesnt require re-training the foot to pick up via other tendons.

hope this is of help.

Andi.[/QUOTE]

Hi Andi,

Just wondering how the surgery went? And how things have been for you since? Hope everything has gone well for you.

I emailed your man in Leeds and they have offered to see me at their clinic. Tempted to go just to get a 2nd opinion before my op at the end of March.

Cheers
Graeme
[QUOTE=Lynn1991NY;3446428]Hi everyone. I was doing a search and found this thread that I posted to a long time ago. I am now 1 yr and 1 month post op tendon transfer on my drop foot with mixed results. I had to have a small revision surgery this past November because the screw in the top of my foot was coming out. It should have dissolved post op but did not so the surgeon when in, tightened some tendons and put in a new screw.

I still choose to walk with a brace which is not where I hoped to be. I just feel after an hour or even less, I have my foot feeling very tired and I have to work too hard to walk.

I see my surgeon on Tuesday and will share my complaints but I am sick and tired of PT and tired of this whole condition that I have had to deal with for over 2 years....sorry for the frustration but at 36, this is not what I wanted to deal with after all the surgeries to try and fix it.

If people have questions about the surgery or recovery, feel free to ask.[/QUOTE]

Hi Lynn...

I'm from New York too and have dropped foot since November due to a broken bone and further hip surgery. I would just like to know what the surgery was like for the tendon transfer...are you in a cast, how long did you stay in the hospital, how was the pain...anything you can think of would be helpful. Believe me, unless you actually have this condition, you can never imagine how painful and disabling it is, and I send my best wishes to you for a successful and speedy recovery. I am also curious if anyone ever recommended nerve transfer surgery to you during the 6 to 8 months after the foot drop developed. Thanks for any info you can provide and feel better...Tanya
[QUOTE=Tanya8;3467460]Hi Lynn...

I'm from New York too and have dropped foot since November due to a broken bone and further hip surgery. I would just like to know what the surgery was like for the tendon transfer...are you in a cast, how long did you stay in the hospital, how was the pain...anything you can think of would be helpful. Believe me, unless you actually have this condition, you can never imagine how painful and disabling it is, and I send my best wishes to you for a successful and speedy recovery. I am also curious if anyone ever recommended nerve transfer surgery to you during the 6 to 8 months after the foot drop developed. Thanks for any info you can provide and feel better...Tanya[/QUOTE]


I agree, unless someone has had drop foot, they really can't quite imagine what it's like. There are things out there to help it, like an AFO. An AFO is basically a leaf spring that attaches to your calf and slips into your shoe/sneaker and goes underneath your foot. It has some flex to it, and basically keeps your foot "up" instead of dragging on the ground. You can walk normally with it and it has some tension so that it will "spring" your foot back up after taking a step. There isn't any actual springs involved, it's just a piece of plastic molded a certain way. I have used one at my PT sessions and let me tell you, even though the one I used wasn't molded to me specifically (any one you get will be molded to your specific build), it helps a TON.

I really hope both of you get better or find some way around it. I know exactly how you both feel and wish you all the best.
I have been monitoring this thread ince I cut my peroneal nerve causing a drop foot on December1, 2006. I was not a candidate for a nerve transfer so my Dr. recommended a tendon transfer however he suggested that I wait for at least 12 months to see how much movement I regained on my own. Being impatient I didn't want to hear this I wanted it fixed now. So after waiting I realized he knew what he wa talking about because what movement I did have got alot stronger, which i neceary for best results in the tendon tranfer. After using my AFO for a year I had my tendon transfer surgery on January 29,2008. I am on week six with my cast and I'm ready to get rid of it. I have had very little pain since about the first four days, I haven't had to take any pain medication at all. After the surgery my Dr. talk me that the wait wa worth it because my tendons were much stronger then he expected. My cast comes off March 10 so I guess I'll ind out then how well it went.
All the post have helped me to understand I'm not alone with my problem I jut wanted to say thanks.
[QUOTE=DanhanO6;3471179]I have been monitoring this thread ince I cut my peroneal nerve causing a drop foot on December1, 2006. I was not a candidate for a nerve transfer so my Dr. recommended a tendon transfer however he suggested that I wait for at least 12 months to see how much movement I regained on my own. Being impatient I didn't want to hear this I wanted it fixed now. So after waiting I realized he knew what he wa talking about because what movement I did have got alot stronger, which i neceary for best results in the tendon tranfer. After using my AFO for a year I had my tendon transfer surgery on January 29,2008. I am on week six with my cast and I'm ready to get rid of it. I have had very little pain since about the first four days, I haven't had to take any pain medication at all. After the surgery my Dr. talk me that the wait wa worth it because my tendons were much stronger then he expected. My cast comes off March 10 so I guess I'll ind out then how well it went.
All the post have helped me to understand I'm not alone with my problem I jut wanted to say thanks.[/QUOTE]


Hi Danhan,

Thanks for all of the information about the tendon transfer. I don't know if I'm a candidate for nerve or tendon transfer, but I'll be finding out if I am in the coming months. Please keep me posted about your success and how you're doing. Hope you can throw that old AFO out, and best wishes for your speedy recovery!
[QUOTE=Tanya8;3467460]Hi Lynn...

I'm from New York too and have dropped foot since November due to a broken bone and further hip surgery. I would just like to know what the surgery was like for the tendon transfer...are you in a cast, how long did you stay in the hospital, how was the pain...anything you can think of would be helpful. Believe me, unless you actually have this condition, you can never imagine how painful and disabling it is, and I send my best wishes to you for a successful and speedy recovery. I am also curious if anyone ever recommended nerve transfer surgery to you during the 6 to 8 months after the foot drop developed. Thanks for any info you can provide and feel better...Tanya[/QUOTE]

Tanya: I was in the hospital 2 days after my tendon transfer. The surgery was 4 hours but I was 'out' so I don't remember any of it. I was on morphine for a bit but I was itching like crazy so at first they gave me benadryl but the combo of benadryl and morphine had me sleeping all day so they took me off both and gave me percoset or vicodin. I was in a cast (first plaster then fiberglass both non-weight bearing) for about 8 weeks. Then after, a boot (non weight bearing), for some time and then back to a cast for 3 weeks and then nothing. I was non weight bearing for about 3 months and really for 2 weeks post op, stuck in bed. It was bad. All the first 4 months were crutches.

Nerve transfer surgery was not an option for me and I forgot why but definitely go to HSS since u are in NYC.

Feel free to ask more.
Thanks for all the info, once again…I really had no idea that I would have to wear a brace at night after the tendon transfer surgery. No one has mentioned this little fact yet, but it makes perfect sense as you describe it. What I don’t know yet would fill volumes.

The reason that I’ve been told to wear a brace at night is to keep the Achilles tendon in the back of my leg from becoming shorter, since my foot is hanging or flopping down in the front. By continuously having it in this pointing position the Achilles tendon would have to be lengthened at the time of the tendon transfer surgery, and the doctors are trying to avoid that. I guess every case of foot drop is different, since it can come from many different causes. Your foot drop originated from your back, and mine is coming from the leg.

As for shoes, I’ve been very lucky with the Orthofeet brand, since they seem to have a lot of give for the AFO, and at the same time are supportive enough for the normal foot. My feet are so wide, and I have to wear two different shoes, but perhaps you could get away with a single pair.

Really Lynn, I can’t thank you enough for all the information you’ve been kind enough to share. You’ve answered questions that I didn’t even know I had! I know that walking to that interview was difficult and exhausting, but from where I am right now it seems like a wonderful accomplishment. I become exhausted as well from lugging my right foot around and refer to it as my boat anchor.

Take care, and feel better every day. I will post again if any more questions come to mind, and please let me know how you are doing.
[QUOTE=DanhanO6;3490461]As I said in my earlier post I cut my peroneal nerve on December 1, 2006 causing my drop foot. On January 29, 2008 I had a tendon transfer, the bridle procedure. I was in a non wieght bearing cast for 6 weeks.
On March 10th I got my cast off and got the infamous walking boot. I couldn't believe how weak my foot got after working for the last 14 months to build up my strength to have the operation. I went to therapy on friday to start to retrain my brain to work muscles I haven't used in 14 months. I was very skeptical but after about 45 minutes of stretching and muscle massage my foot started to move upwards. It's obviously still very shakey but it does work. I am writing this to let some of you know that if a non believer like me can do it you can too, so don't ever give up. I still have a long way to go but I have a wife and two kids to keep up with so I can't stop trying.[/QUOTE]


Thanks for the follow up about your tendon transfer. I may be facing this surgery sometime down the line and am grateful for the information you have provided, since I'm basically a non believer too. I know what you mean about rehabilitating muscles, because I am now rehabilitating my very weakened quadriceps muscle due to a fracture and surgery. The PT wanted me to climb up a stair with the weakened leg without holding on and I told him that there was no way that I could do it. Then I started to really concentrate on using that muscle and I was able to go up the stair. I couldn't believe it. I have a long way to go too, but I've got to hang in there! Take care...Best, T
Hi everyone.

Sorry for my absense for those who were waiting for a response to my surgery. It is 9 weeks since I had my ankle tendon transfer to rectify the foot drop i suffered from a ACL/LCL and pernoeal nerve injury from playing soccer 5 years ago.

Initially i was due to be in a cast for 6 weeks and then in a protective walking boot for a further 6 weeks. However, after the first 6 weeks my surgeon decided to put me in another cast for 6 more weeks! I am able to walk on it un-aided by crutches for short distances. His decision to do this was based on caution and to give it the best chance of success. I had my cast changed after 2 weeks and 6 weeks, when he took the cast off the foot stayed in the 90 degree position which was a great relief (if a little bizarre after so long with foot drop). I hope it will be the same in three weeks when I will be cast free. strangely, I have regained some movement of my toes (not the big one) which previously never moved. It isnt powerful enough to move my foot but it is strange to see the little fellas wiggling about after all this time. My surgeon doesnt really know what has caused this and certainly wasn't an aim of the surgery.

Apart from that I dont have much to report as I am now just waiting to see if I will be able to walk without the aid of an AFO, once the cast is off. However, by reading a few reports on here it looks like I shouldn't get my hopes up too much. Fingers crossed though.

Gary - did you progress any further with my surgeon or decide to stay in Scotland for the surgery? Hope all is going well for you.

All the best everyone,

Stay positive,

Andrew.





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