Hospital Pedro Hispano, ULS Matosinhos, Portugal, Matosinhos, Portugal.
Hospital Universitario Austral, Buenos Aires, Argentina.
BMC Musculoskelet Disord. 2024 Aug 12;25(1):638. doi: 10.1186/s12891-024-07621-9.
Review the literature and describe the complications associated with each of the anterior tibial tendon transfer (ATTT) techniques described.
A systematic review of the literature was performed with the keywords ''clubfoot'', ''Ponseti'' and ''anterior tibial''. Studies in patients with clubfoot recurrence, who underwent ATTT, whose method of tendon fixation was different from the classical method, were included.
Six studies were included in this systematic review, which described multiple techniques for tibialis anterior fixation: bone anchors, interference screws, endobotton, K-wires, transosseous suture, and suture to the plantar fascia. In the papers that described postoperative complications, no major complications were reported, however the samples are generally small.
Several options have now emerged for tendon fixation in tendon transfers around the foot and ankle, including ATTT for treatment of relapsed clubfoot. To our knowledge this is the first paper that questioned the potential complications associated with the use of these new techniques. Due to the scarcity of published works in favor of other fixation methods, we believe that the traditional method is the optimal one for the transfer of the tendon of the tibialis anterior muscle.
回顾文献并描述每种描述的胫骨前肌腱转移（ATTT）技术相关的并发症。
使用关键词“马蹄足”、“Ponseti”和“胫骨前”进行系统文献回顾。纳入接受 ATTT 且肌腱固定方法与经典方法不同的马蹄足复发患者的研究。
本系统评价纳入了 6 项研究，描述了胫骨前肌固定的多种技术：骨锚、干扰螺钉、Endobutton、K 线、经皮缝线和足底筋膜缝线。在描述术后并发症的论文中，没有报告重大并发症，但样本通常较小。
现在已经出现了几种用于足踝周围肌腱转移的肌腱固定选择，包括用于治疗复发马蹄足的 ATTT。据我们所知，这是第一篇质疑使用这些新技术相关潜在并发症的论文。由于支持其他固定方法的已发表作品稀缺，我们认为传统方法是转移胫骨前肌肌腱的最佳方法。
