Efficacy of Total Tibialis Anterior Tendon Transfer using Button Anchor in Management of Residual Dynamic Supination in Congenital Talipes Equino Varus
- Author:
Ajmera A
1
;
Solanki M
1
;
Pal A
1
;
Kumar M
1
;
Tiwari U
1
Author Information
1. Department of Orthopaedics, Mahatma Gandhi Memorial (MGM) Medical College, Indore, India
- Publication Type:Journal Article
- Keywords:
congenital talipes equino-varus (CTEV);
dynamic supination;
tibialis anterior tendon transfer (TATT);
disease specific instrument (DSI);
foot posture index (FPI)
- From:Malaysian Orthopaedic Journal
2026;20(No. 1):38-
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Congenital talipes equino-varus (CTEV) is
amongst one of the most common paediatric foot
deformities. Ponseti’s method is the standard way of
treatment, however, some patients are left with residual or
partially corrected deformities. Dynamic supination is one
amongst them, where the foot supinates in swing phase of the
gait cycle. It is due to a strong tibialis anterior and its weak
antagonist.
Materials and methods: We undertook a prospective
interventional study in thirty patients of CTEV with residual
dynamic supination deformity and treated them with tibialis
anterior tendon transfer (TATT) using a button anchor.
Minimum follow-up was six months after the surgery.
Functional, subjective and objective evaluation was done
using foot posture index (FPI), disease specific instrument
(DSI) for clubfoot, clinician satisfaction grading and
videotaped functional gait analysis. Statistical analysis was
done using paired ‘t’ test and calculating p values.
Results: We achieved good to excellent results in 93.3% of
our patients and fair in 6.66%. None of our patients had poor
results. Mean FPI improved from -1.93 to +0.3, DSI values
also showed a significant reduction from 18.17 +/- 1.09 to
13.37 +/- 1.54 after surgery. A total of 90% had satisfactory
gait post-surgery at 6 months follow-up.
Conclusion: Tibialis anterior tendon transfer using a button
anchor is effective in treatment of residual dynamic
supination deformity.
- Full text:2026030910511300025talipes-equino-varus.pdf
