SDN Members don't see this ad. (About Ads) I had an interesting patient in the office today. Tell me what you would do... Young guy 26 yr old soldier sustained MVA 18 months ago with severe degloving and burns to lateral and posterior lower leg down to just above ankle level right LE. He had 16 surgeries until now mainly of debridements and multiple STSG to get this covered and is now healed and undergoing PT. He had no osseous trauma. He had damage to the superficial peroneal nerve and has limited ankle dorsiflexion and limited eversion available. Probably max dorsiflexion is about 5-10 degrees plantar flexed. He can dorsiflex against resistance but not past 5 degrees plantar flexed from neutral. He can invert 20 degrees and evert about to neutral. His contractures are flexible and not yet fixed. The STSG are adhered to the gastrosoleal musculature and Achilles and move with the graft. Likewise STSG is adhered to the peroneals which are balled up proximally and to the anterior ankle and move with the anterior tibial musculature. Other than a heel lift accommodation or dropfoot brace, what would you consider surgically?