Split Transfer of Tibialis Posterior Tendon After Failed Tibialis Anterior Transfer for Recurrent Bilateral Clubfeet: A Case Report.

CASE: We describe the split transfer of tibialis posterior tendon to the tendon stump of tibialis anterior and distal end of peroneus brevis after a failed transfer of tibialis anterior to the lateral aspect of the foot for recurrent bilateral clubfeet at the age of 5 years. The purpose of this surgical technique was to restore the dynamic balance of foot inversion-eversion, during the gait cycle, by augmenting the muscular strength of peroneus brevis and tibialis anterior. The results of the 4-year follow-up were very encouraging.

CONCLUSION

We recommend this technique for a failed tendon transfer of the tibialis anterior for recurrent clubfeet.