Delayed Bilateral Tibialis Anterior Tendon Repair in an Older Man: A Case Report.

CASE: We report a 67-year-old healthy man who sustained bilateral hyper-plantarflexion injuries falling off a ladder that resulted in bilateral tibialis anterior tendon tears one month prior to presentation. His injuries were effectively managed with bilateral delayed operative treatment. After non-weightbearing for three months, the patient was subsequently permitted to full weight bear in CAM boots for three months. At three-year follow-up he was fully functional with excellent Foot and Ankle Ability Measure (FAAM scores).

CONCLUSION

The management delayed tibialis anterior tendon ruptures, whether due to traumatic or degenerative mechanisms is challenging and surgical repair can be effective when this injury occurs bilaterally.