Beyond Drop Foot: A Spectrum-Based surgical Approach to Flaccid Foot Paralysis | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 1، دوره 13، شماره 8، آبان 2025، صفحه 457-459 اصل مقاله (819.4 K) | ||
| نوع مقاله: EDITORIAL | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2025.89888.4073 | ||
| نویسنده | ||
| Alireza Mousavian* | ||
| Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Not All Foot Drops Are Equal Foot drop remains a commonly encountered condition in foot and ankle clinics, often referred from neurology or rehabilitation centers with a presumed diagnosis of dorsiflexor weakness. However, through over a decade of managing post-paralytic patients, I have repeatedly encountered cases that defy this narrow definition. Many presents with a gait pattern resembling classic drop foot, yet examination reveals deeper and more complex dysfunction — involving plantar flexors, invertors, and evertors to varying degrees as a spectrum. To describe this broader functional impairment, I propose the term “flail-drop foot”: a condition in which the dominant complaint is foot drop, but the actual pathology includes a wider, flaccid motor paralysis spectrum. Recognizing this helps distinguish these patients from isolated extensor lag and leads to more tailored surgical solutions. | ||
| کلیدواژهها | ||
| Drop foot؛ Flail foot؛ Paralytic | ||
| مراجع | ||
|
1- Matuszak SA, Baker EA, Fortin PT. The adult paralytic foot. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2013 May 1;21(5):276-85.
2- Jeng C, Myerson M. The uses of tendon transfers to correct paralytic deformity of the foot and ankle. Foot and ankle clinics. 2004 Jun 1;9(2):319-37.
3- Gharehdaghi M, Rahimi H, Mousavian A. Anterior ankle arthrodesis with molded plate: technique and outcomes. Archives of Bone and Joint Surgery. 2014 Sep 15;2(3):203.
4- Joseph B. Management of a flail foot in cauda equina syndrome by neoligament tenodesis: A case report. Foot & ankle international. 2006 Jan;27(1):60-3.
6- Rodriguez RP. The Bridle procedure in the treatment of paralysis of the foot. Foot & ankle. 1992 Feb;13(2):63-9.
7- Kilicoglu O, Tozun IR. Posterior bone block for footdrop: a report of two cases. Journal of the American Podiatric Medical Association. 2007 Mar 1;97(2):160-4.
| ||
|
آمار تعداد مشاهده مقاله: 59 تعداد دریافت فایل اصل مقاله: 70 |
||