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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
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Harvesting of Peroneus Longus Tendon Autograft
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Posterior Tibial Tendon Transfer.

Amber M Shane1, Christopher L Reeves2, Jordan D Cameron3

  • 1Orlando Foot and Ankle Clinic, 250 North Alafaya Trail, Suite 115, Orlando, FL 32825, USA; Department of Podiatric Surgery, Florida Hospital East Orlando Surgical Residency Program, 7727 Lake Underhill Road, Orlando, FL 32822, USA.

Clinics in Podiatric Medicine and Surgery
|November 23, 2015
PubMed
Summary
This summary is machine-generated.

Tibialis posterior tendon transfer is effective for select patients when performed correctly. Passing the tendon through the interosseous membrane is the preferred fixation method for optimal outcomes.

Keywords:
DropfootEquinovarusPTTTPosterior tibial tendonPosterior tibial tendon transferTendon transfer

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Area of Science:

  • Orthopedic surgery
  • Musculoskeletal biomechanics

Background:

  • Tibialis posterior tendon dysfunction is a common cause of adult acquired flatfoot.
  • Tendon transfer surgery is a reconstructive option for restoring foot and ankle function.

Purpose of the Study:

  • To review the effectiveness of tibialis posterior tendon transfer.
  • To discuss tendon fixation techniques and their indications.
  • To highlight factors influencing surgical outcomes.

Main Methods:

  • Review of surgical techniques for tibialis posterior tendon transfer.
  • Analysis of tendon fixation methods, including passage through the interosseous membrane.
  • Discussion of patient selection and postoperative care protocols.

Main Results:

  • Tibialis posterior tendon transfer is an effective procedure when performed in appropriate patients.
  • Various tendon fixation methods exist, each with specific indications.
  • Interosseous membrane passage is the recommended fixation technique when feasible.

Conclusions:

  • Proper patient selection and surgical technique are crucial for successful tibialis posterior tendon transfer.
  • The interosseous membrane is the preferred route for tendon passage.
  • Comprehensive postoperative care, including early mobilization and physical therapy, is essential for minimizing complications and maximizing functional recovery.