Understanding the procedure
Foot drop makes it difficult to lift the front of the foot. In suitable cases, a functioning tendon, commonly tibialis posterior, can be rerouted to help lift the ankle. The operation does not reverse the original nerve injury.
When might it be considered?
- Persistent foot drop despite appropriate assessment and rehabilitation.
- Difficulty clearing the toes during walking or reliance on an ankle-foot orthosis.
- A sufficiently strong donor muscle and an ankle that can be positioned appropriately.
Specialist assessment
The examination considers the cause of foot drop, remaining muscle power, foot alignment, joint stiffness, skin sensation and walking pattern. Contracture may need treatment as part of the plan. An orthosis remains an important alternative.
Treatment & recovery
After transfer, the tendon needs protection before progressive weight-bearing and muscle retraining. The programme is tailored to the operation. Potential risks include wound problems, stiffness, altered foot balance, tendon failure and incomplete correction.
Common questions
Will I definitely be able to stop using a brace?
Some patients reduce their reliance on an orthosis, but this is not guaranteed. The goal and expected limitations are discussed before surgery.
How long does recovery take?
Protection is followed by progressive rehabilitation over months. Progress depends on healing, muscle activation and the specific reconstruction.
General patient information from London Nerve Injury. Decisions about investigations and treatment require an individual clinical assessment.