ThePrevalence and Pattern of Foot Dropin A Private Orthopedic and Trauma Center, South East, Nigeria: A10 Year Retrospective Analysis.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background:Foot drop from trauma or from any other cause can be devastating to the orthopedic patient especially as it prolongs rehabilitation. The inability to dorsi-flex the foot distorts the gait cycle with exaggerated clearance and poor heel landing which could lead to instability and occasional falls. Our objective is to find out the scope of this problem in our center. Patients and methods: The patients diagnosed with foot drop primarily or as complication of other orthopedic conditions between January 2006 and December 2015 were studied retrospectively by analyzing their case files. Results: A total of 1638 case files of patients who had foot drop or who had orthopedic problems considered high risk for foot drop were analyzed. Eighty five (5.2%) had foot drop from either nerve or musculo-tendinous injury. Majority of them were aged 10 years and below n= 55 (65%) and they were mainly due to intramuscular gluteal injection affecting the sciatic nerve. Young adult males between the ages of 21-40 years n=23 (27.1%) had their foot drop from major trauma, p value <0.05. Expectant treatment lead to full recovery in many cases n=40 (47.1%), p value < 0.05. Further treatment with physiotherapy, orthotic fixture, nerve exploration, tendon transfer and seldom ankle arthrodesis was done for the few that did not recover n=2 (2.4%). Conclusion: Foot drop is a fairly common complication encountered in orthopedic practice. This could occur from complicated orthopedic injuries affecting the nerves and muscles secondarily or from their primary involvement which could be iatrogenic. Although watchful waiting and resolution over time could occur in many cases especially when there are no indications for emergency interventions, those that do not resolve could be treated by surgeries.
Authors and Affiliations
AguThaddeus Chika, AkukaLivinus Uchenna
Keywords
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- EP ID EP594291
- DOI 10.9790/0853-160405109113.
- Views 67
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