title: [Surgical treatment of tibialis anterior tendon rupture].
abstract: BACKGROUND
  Tibialis anterior tendon rupture is rare, with only a few cases and small series having been reported in the literature. In this article, cases reported in the literature from 1997-2012 are reviewed and patients treated by the author are presented.
  
  
  METHODS
  Cases published from 1997-2012 needing surgical treatment for tibialis anterior tendon rupture were retrospectively reviewed. In all, 32 articles with a total of 44 reported cases and 5 patients from our own practice were included. Patient-specific data (e.g., age, trauma, secondary diagnosis, and time to surgery), surgical technique, operative result, and documented complications were also evaluated.
  
  
  RESULTS
  The mean age (MA) of the patients (30 men and 19 women) undergoing treatment was 58 years. A total of 17 patients presented as a result of adequate trauma (MA 52) and 32 patients without or minor trauma (MA 62). In 16 patients (33 %), a primary tendon suture was selected, while in 11 patients (22 %) osseous refixation techniques were performed. In 21 patients (43 %), plastic reconstruction was necessary. Total recovery was observed in 69 % of patients (n = 34); 26 % (n = 13) had moderate limitations. Complications were reported in 12 % of cases (n = 6), thereof one re-rupture.
  
  
  CONCLUSIONS
  Good to excellent results were observed in tibialis anterior tendon ruptures reconstruction. No associations between surgical treatment and outcome were observed. The selection of the surgical technique depended on rupture mechanism, location, size, tendon constitution, rupture age, and surgeon's experience.
authors: Klinik und Poliklinik für Orthopädie, Unfallchirurgie, und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.
authors: D
authors: D
authors: Zajonz
authors: L
authors: L
authors: Köhler
authors: M
authors: M
authors: Pretzsch
authors: T
authors: T
authors: Lingscheidt
authors: M
authors: M
authors: Moche
authors: C-E
authors: CE
authors: Heyde
authors: Roger
authors: R
authors: Scholz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016512:Ankle Injuries / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D058971:Tenotomy / Q000295:instrumentation / Q000379:methods*; D055815:Young Adult