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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Tibialis Anterior Tendon Transfer.

Jennifer L Mulhern1, Nicole M Protzman2, Stephen A Brigido1

  • 1Foot and Ankle Department, Foot and Ankle Reconstruction, Coordinated Health, 2775 Schoenersville Road, Bethlehem, PA 18017, USA.

Clinics in Podiatric Medicine and Surgery
|November 23, 2015
PubMed
Summary

Tendon transfer surgery effectively treats equinovarus deformity by improving ankle motion and muscle function. Both complete and split tibialis anterior tendon transfers are beneficial, with split transfers potentially offering better muscle balance without overcorrection.

Keywords:
ClubfootEquinovarus deformitySTATTSplit tibialis anterior tendon transferTendon transferTibialis anterior tendon

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Reconstructive surgery

Background:

  • Tendon transfer surgery is a common orthopedic procedure.
  • Idiopathic equinovarus deformity affects children and adults, causing soft tissue imbalances.
  • Both complete and split tibialis anterior tendon transfers are established treatments.

Purpose of the Study:

  • To compare the effectiveness of complete versus split tibialis anterior tendon transfers.
  • To evaluate improvements in ankle and foot range of motion and muscle function.
  • To assess the achievement of inversion to eversion muscle balance.

Main Methods:

  • Review of existing literature on tibialis anterior tendon transfer procedures.
  • Analysis of studies reporting outcomes for complete and split transfers.
  • Comparison of functional improvements and complication rates.

Main Results:

  • Both complete and split transfers significantly improve ankle and foot range of motion and muscle function.
  • The split transfer procedure is advocated for achieving inversion to eversion muscle balance.
  • There is currently insufficient evidence to definitively recommend one procedure over the other.

Conclusions:

  • Tendon transfers are effective for idiopathic equinovarus deformity.
  • Split tibialis anterior tendon transfer may offer advantages in muscle balance.
  • Further research is needed to establish superiority between complete and split transfer techniques.