Peroneus Longus Transfer. Cmt surgery is all about taking away the strong tendons that are deforming the foot and transferring them to strengthen the weaker tendons. The fhl to pb tendon transfer is a surgery to improve the function of the foot.
The fhl to pb tendon transfer is a surgery to improve the function of the foot. Peroneus longus transfer for drop foot in hansen disease. Procedure 31 anterior transfer of the peroneus longus tendon to the base of the second metatarsal operative technique the patient is placed in a semilateral position with a sandbag under the hip on the affected side.
2 0 fiberwire utilized to anastamose the peroneus longus to the peroneus brevis tendon proximal to the fi bular groove.
In all cases this procedure was not a standalone intervention but was combined with total ankle replacement osteotomies addressing the hindfoot varus or lateral ligament reconstruction. Rehabilitation guidelines for peroneal tendon repair phase i 0 4 weeks post op dates. Peroneus longus transfer an oblique incision is made over the lateral aspect of the foot from base of the fifth metatarsal to approximately 1 cm below the lateral malleolus to expose the insertion of the peroneus longus and brevis. Tears of the peroneus longus also occur in areas of high mechanical stress but are not as common as injury to the peroneus brevis 6.