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Journal of Bone and Joint Surgery, 1940;22:932-936.
© 1940 by The Journal of Bone and Joint Surgery, Inc

ANTERIOR TIBIAL TENDON TRANSPOSITION IN RECURRENT CONGENITAL CLUB-FOOT

GEORGE J. GARCEAU M.D.1

1 The James Whitcomb Riley Hospital For Children, Indiana University School of Medicine, Indianapolis

1. The deformity in club-foot does sometimes recur after apparently adequate conservative treatment.

2. The faulty mechanism of the anterior tibial muscle is a mechanical factor in this recurrence.

3. Correction of the equinus is necessary to obtain the best mechanical advantage of the transferred force.

4. End-result studies of fifty-six feet indicate that the continuous influence of the transferred force is an important factor in the correction of resistant cases.

5. No bad effects were noted from the sacrifice of the anterior tibial tendon.

6. Satisfactory end results were obtained in 93 per cent. of the feet so treated.


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