Tibial Nerve to Tibialis Anterior Motor branch of Deep Peroneal nerve transfer in a case of Foot drop.pptx

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sheenam bansal

Andrea Baeuer MD , Boston Children Hospital

Health & Medicine

Tibial Nerve to Tibialis Anterior
Motor branch of Deep Peroneal
nerve transfer in a case of Foot
drop

1 Under GA
2 Lateral Decubitus
position
3 Oblique incision is
made centered over
the Fibular head.

4 CPN divides into
Superficial and Deep
peroneal nerve at
neck of Fibula

5 Deep Peroneal
nerve is inbetween
Peroneus Longus
and Soleus muscle

6 After identification
Deep Peroneal nerve
, interval between
Peroneal Longus and
Soleus was made
after opening fascia
over it.

7 Peroneal muscle
elevated from
anterior Fibula and
Deep Peroneal nerve
is traced as it gives
off motor branch to
Tibialis Anterior
muscle.

8 Soleus is elevated
from posterior aspect
of Fibula to expose
and protect the
Posterior Tibial
neurovascular
bundle.

9 Intrafacicular
dissection Tibial
nerve was done and
redundant fascicles
to FHL and FDL
muscles were
identified using nerve
stimulator

10 Coaptation can be
done either above
fibula or below
Fibula.

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