Effectiveness of Bridle procedure for correction of foot drop syndrome due to peroneal nerve neuropathy

Introduction Foot drop syndrome due to peroneal nerve neuropathy significantly impairs limb support and patient quality of life. The aim of this study was to evaluate the clinical effectiveness of the Bridle procedure compared to ankle arthrodesis and isolated tendon transfer. Materials and methods A retrospective analysis of 27 patients was performed, divided into a main group (n = 14, Bridle technique) and a control group (n = 13, arthrodesis or tendon transfer). Functional outcomes were assessed using the AOFAS and VAS scales, along with rehabilitation duration, orthotic use, and complication rates. The mean follow-up period was 2.3 years. Results The main group showed significantly better outcomes: AOFAS score improved from 38 to 82, VAS score decreased from 6.8 to 2.1, and the need for orthotic devices was reduced. In the control group, improvements were less pronounced (AOFAS: 37→65; VAS: 6.7→3.9). The complication rate was 14.3 % in the Bridle group versus 38.5 % in the control group. Discussion The Bridle technique restores active dorsiflexion while preserving ankle mobility. Its functional and rehabilitation advantages make it preferable in cases of isolated peroneal nerve injury without severe deformities. Conclusion The Bridle procedure is an effective joint-preserving surgical method for treating foot drop, providing superior clinical outcomes compared to alternative interventions.