title: Tibialis Anterior Tendon Reconstruction Using Augmented Half-Thickness Tendon Segment Transposition.
abstract: Tibialis anterior tendon rupture causes substantial morbidity. The present study describes the outcomes of augmented, half-thickness tibialis anterior tendon segment transposition, a novel reconstruction technique. This was an institutional review board-approved retrospective review of 3 patients with surgically treated attritional distal rupture with 1-year follow-up. The postdebridement tendon defect prohibited primary repair and was managed by distal transposition of a half-thickness healthy segment. This repair was augmented with human acellular dermal matrix allograft (Graftjacket, Wright Medical Technology, Memphis, TN). The mean age was 68 years (range, 59-73 years). Mean interval between injury and surgery was 59.3 days (range, 15-146 days). All patients regained symmetrical range of motion, motor power, and the ability to heel walk. Mean pain scores improved from 4.6 (range, 2.5-8.5) preoperatively to 0.7 (range, 0-2) postoperatively. Mean Foot and Ankle Ability Measure scores increased from 30.6 (range, 23.8-43.8) preoperatively to 78.7 (range, 72.6-97.6) postoperatively. No postoperative complications occurred. One patient was satisfied and 2 were very satisfied with their outcome. Although limited, the present findings appear to indicate that this technique produces short-term clinical results comparable to those described for other techniques for tibialis anterior tendon reconstruction.
  
  
  METHODS
  Therapeutic, Level IV.
authors.affiliation: Foot and Ankle Surgery, Orthopedic Foot and Ankle Center, Westerville, Ohio (CWR).|Rowan University School of Osteopathic Medicine, Stratford, New Jersey (JFS).|Jefferson Medical College, Foot and Ankle Services, Rothman Institute, Philadelphia, Pennsylvania (JND).
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Reb
authors.affiliation: Foot and Ankle Surgery, Orthopedic Foot and Ankle Center, Westerville, Ohio (CWR).|Rowan University School of Osteopathic Medicine, Stratford, New Jersey (JFS).|Jefferson Medical College, Foot and Ankle Services, Rothman Institute, Philadelphia, Pennsylvania (JND).
authors.forename: James F
authors.initials: JF
authors.lastname: Stenson
authors.affiliation: Foot and Ankle Surgery, Orthopedic Foot and Ankle Center, Westerville, Ohio (CWR).|Rowan University School of Osteopathic Medicine, Stratford, New Jersey (JFS).|Jefferson Medical College, Foot and Ankle Services, Rothman Institute, Philadelphia, Pennsylvania (JND).
authors.forename: Joseph N
authors.initials: JN
authors.lastname: Daniel
mesh_terms: D000368:Aged; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D056888:Patient Positioning; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D012421:Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: age-related problems; ankle; ankle injuries; diagnostic and therapeutic techniques; foot surgery techniques; geriatric podiatry; heel; rearfoot; reconstructive foot and ankle surgery