Tibialis anterior transfer for residual metatarsus adductus in club feet

ABSTRACT

Adduction and supination are the most common residual deformities after conservative or surgical treatment of clubfoot. These deformities concern the parents as they note a decreased agility of their children due to repeated falling and also because of the problems in shoe fitting and rapid wear of the shoes. Garceau first described tibialis anterior transfer [TAT] in recurrent congenital clubfoot. Since then, the procedure has been widely used with various modifications. Twenty three children with clubfoot underwent thirty one TAT to the cuboid. All children showed an improvement in the range and power of eversion. All parents were extremely satisfied by the result of surgery regarding functional and cosmetic outcome as well as improvement in shoe wear. TAT to the cuboid is recommended for management of residual adduction and supination deformity in treated clubfeet