What are the points of attachment in tendon transfer for the treatment of foot drop?

Updated: Mar 23, 2020
  • Author: James W Pritchett, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS  more...
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Answer

Once a transfer route is selected, the point of fixation of the split PTT may be either tendon-to-tendon or tendon-to-bone. In tendon-to-tendon fixation, the points of attachment are as follows:

  • Lateral slip - Peroneus brevis, peroneus tertius, or extensor digitorum longus (EDL) tendons
  • Medial slip - Tibialis anterior or extensor hallucis longus (EHL)

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