title: Extensive Loss of Tibialis Anterior Tendon: Surgical Repair With Split Tendon Transfer of Tibialis Posterior Tendon: A Case Report.
abstract: Extensive damage of the tibialis anterior tendon is rare and mainly caused by trauma. Surgical treatment of these injuries can become challenging owing to the limited availability of autogenous graft resources for reconstruction of the defect. In the present case report, we describe a large defect in the midfoot soft tissue after a traffic injury, which included complete loss of the tibialis anterior tendon. The tendon was reconstructed by split tendon transfer of the tibialis posterior tendon without sacrificing function, which was confirmed by the follow-up examination at 6 years after injury. We believe split tendon transfer of the tibialis posterior tendon can be one of the treatment options for patients with extensive disruption of the tibialis anterior tendon.
authors.affiliation: Assistant Professor, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. Electronic address: mtuyo@u-fukui.ac.jp.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Miyazaki
authors.affiliation: Associate Professor, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Kenzo
authors.initials: K
authors.lastname: Uchida
authors.affiliation: Lecturer, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kokubo
authors.affiliation: Lecturer, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Tomoo
authors.initials: T
authors.lastname: Inukai
authors.affiliation: Orthopedist, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Takumi
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Orthopedist, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamagishi
authors.affiliation: Orthopedist, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Kitade
authors.affiliation: Emeritus Professor, Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
authors.forename: Hisatoshi
authors.initials: H
authors.lastname: Baba
mesh_terms: D000063:Accidents, Traffic; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D053580:Muscle Strength / Q000502:physiology; D018482:Muscle, Skeletal / Q000601:surgery; D011859:Radiography / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D013977:Tibia; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
keywords: human; lower extremity; tendon repair; trauma