PMID: 15344220Sep 3, 2004Paper

The effect of selective tibial neurotomy and rehabilitation in a quadriplegic patient with ankle spasticity following traumatic brain injury

Yonsei Medical Journal
Sung Ho JangMi Ok Ahn

Abstract

Ankle spasticity following brain injury leads to abnormal posture and joint contracture; making standing or walking impossible. This study investigates the efficacy of selective tibial neurotomy (STN) and intensive rehabilitation in a patient who suffered ankle spasticity after brain injury. This case describes a 37-year-old man whose traumatic brain injury (TBI) resulted in severe right ankle spasticity and contracture. He was unable to stand due to severe right ankle spasticity and contracture. Intensive rehabilitation and STN allowed him to walk without brace at 6 months and run at 12 months after STN. STN is an effective procedure to resolve localized spasticity of the ankle and it may be considered as a management strategy after local injection to alleviate ankle spasticity and/or contracture prior to orthopaedic surgery.

Citations

May 13, 2010·Journal of Korean Neurosurgical Society·Jong-Hoon KimSeong-Ho Kim
Dec 13, 2016·World Neurosurgery·Sheng ZhongYouqiong Li
Jul 26, 2019·Journal of the American Geriatrics Society·Jennifer S AlbrechtGabriel E Ryb
Apr 24, 2014·Australasian Journal on Ageing·Melissa T NottIan J Baguley

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