A repair of tibialis anterior hernia with periosteal turnover flap

Abstract

The tibialis anterior muscle herniation was treated with the periosteal turnover flap technique, which has not been previously described in literature. The defect area covered with tibial periosteum by turning the raised flap over on itself at 180º after debridement of the defect edges. Four cases had a history of trauma and the herniation was in the mid-third of the tibia. The mean follow-up period was 84 months (range, 72-96 months) during which no complications or recurrence were observed. In this paper, the periosteal turnover flap technique is described for the first time in literature. The repair of tibialis anterior muscle herniation with periosteal turnover flap can be considered as a safe method.