SURGICAL RECONSTRUCTION OF LEPROTIC FOOT-DROP

We have operated on 25 patients for correction of foot-drop due to lep rosy from March 1992 to July 1994. The method used was circumtibial tr ansfer of the tibialis posterior to the tendons of extensor hellucis l ongus and the extensor digitorum longus in the foot together with leng thening of the Achilles tendon. The results were satisfactory in 20 of these cases as judged by adequate restoration of heel-toe gait and of active dorsiflexion. The follow-up period ranged from 6 months to 2 y ears. Inadequate post-operative physiotherapy was the reason for unsat isfactory results in five cases.