Repair of tibialis anterior muscle herniation using periosteum

Muscular herniation consists of focal muscular protrusions through an acquired or congenital fascial defect. The anterior tibialis muscle is most frequently affected. Asymptomatic muscle hernias are usually treated conservatively. For severe symptoms or cosmetic complaints, several surgical techniques are available to treat muscle herniation, including fasciotomy, fascial patch grafting using autologous fascia lata, or synthetic mesh. However, the optimal surgical approach remains debatable. The authors propose a novel and reproducible surgical method using a periosteal turn-down technique. This surgical technique has the advantages of fewer complications, greater cost-effectiveness, and high reproducibility. The authors find this to be a useful technique.