Tibialis Anterior Tendon Rupture Surgical Treatments and Outcomes: A Systematic Review and Meta-Analysis

Duelfer, Keegan A.; McAlister, Jeffrey E.

doi:10.1053/j.jfas.2023.01.007

The Journal of Foot and Ankle Surgery

2023

DOI: 10.1053/j.jfas.2023.01.007

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Tibialis Anterior Tendon Rupture Surgical Treatments and Outcomes: A Systematic Review and Meta-Analysis

Keegan A. Duelfer

Jeffrey E. McAlister

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2024

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Cited by 2 publications

References 29 publications

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Tibialis anterior tendon rupture repair technique involving tendon transfer and tendon tenodesis; a case series to demonstrate preoperative work-up, surgical technique and postoperative protocol

Abben,

Brett,

Nack

et al. 2024

Foot & Ankle Surgery: Techniques, Reports & Cases

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Tibialis anterior tendon rupture repair technique involving tendon transfer and tendon tenodesis; a case series to demonstrate preoperative work-up, surgical technique and postoperative protocol

Abben,

Brett,

Nack

et al. 2024

Foot & Ankle Surgery: Techniques, Reports & Cases

View full text Add to dashboard Cite

Tibialis Anterior Tendon Reconstruction Utilizing Split Tendon Turn-down: A Case Report and Technique Guide

Hill,

Stone,

Holmes

2024

Foot & Ankle Specialist

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Tibialis anterior tendon (TAT) ruptures are rare, equating to less than 1% of all musculotendinous injuries. These injuries can be acute or atraumatic, with the latter often associated with chronic degenerative tendinopathy. Surgical repair is indicated when conservative measures fail in meeting functional demands. Direct end-to-end repair is the preferred method for TAT ruptures but may not be feasible with a large tendon defect. Various surgical techniques have been described to address this pathology, including allograft tendon interposition or extensor hallucis longus (EHL) transfer. The authors present a unique technique utilizing a minimal incision TAT turn-down with dermal matrix allograft augmentation, and, in addition, a case implementing this technique in a patient with a large insertional defect. The patient’s postoperative course and outcomes were favorable, with improvements in pain, satisfaction, functional scores, and strength. The surgical technique offers versatility and can be adapted to different tendon defect sizes. It also allows for minimal-incision exposure, beneficial for patients with comorbidities or compromised skin integrity. In conclusion, the authors present a case report and surgical technique for the management of large-deficit, chronic TAT ruptures using split TAT turn-down. This technique provides a potential solution for cases where direct end-to-end repair is not feasible. Level of Evidence: Level V

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Tibialis Anterior Tendon Rupture Surgical Treatments and Outcomes: A Systematic Review and Meta-Analysis

Cited by 2 publications

References 29 publications

Tibialis anterior tendon rupture repair technique involving tendon transfer and tendon tenodesis; a case series to demonstrate preoperative work-up, surgical technique and postoperative protocol

Tibialis anterior tendon rupture repair technique involving tendon transfer and tendon tenodesis; a case series to demonstrate preoperative work-up, surgical technique and postoperative protocol

Tibialis Anterior Tendon Reconstruction Utilizing Split Tendon Turn-down: A Case Report and Technique Guide

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