Management of Isolated Anterior Tibial Tendon Rupture: A Systematic Review and Meta-Analysis

Tickner, A. H.; Thorng, Seiha; Martin, Mary; Marmolejo, Valerie

doi:10.1053/j.jfas.2018.08.001

Cited by 15 publications

(25 citation statements)

References 66 publications

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“…In a recent systemic review and meta-analysis with more than 23 studies that included 134 surgically treated TA tendon ruptures, the use of the EHL tendon was associated with the worse outcome potential compared to that noted with other surgical strategies. 25 Therefore, harvesting from an ankle plantarflexor such as the PLT may be more advantageous compared to harvesting from an ankle dorsiflexor to reconstruct the TA tendon.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of chronic tibialis anterior tendon ruptures using a free anterior half of a peroneus longus tendon autograft: A technical note

Kim

Park

Ahn

et al. 2022

J Orthop Surg (Hong Kong)

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Purpose: Chronic rupture of the tibialis anterior (TA) tendon is rare. Several reconstruction techniques have been introduced. However, to the best of our knowledge, the use of a free anterior half of a peroneus longus tendon (AHPLT) autograft has not been reported for reconstruction of TA tendon rupture. This study aimed to describe the surgical technique and present the clinical outcomes of reconstruction of the chronic TA tendon ruptures using an AHPLT autograft. Methods: Between September 2013 and April 2019, five patients with chronic TA tendon rupture were surgically treated by reconstruction using an AHPLT autograft. The AHPLT could be easily harvested percutaneously with a tendon stripper from the ipsilateral lower leg around the reconstruction site. The study included four men and one woman, with a mean age of 43.8 (range: 23–65) years. Results: At a mean follow-up period of 42.8 (range; 12–70) months, the mean Foot Function Index value significantly improved from 53.6 ± 19.8 preoperatively to 25.8 ± 20.8 postoperatively ( p = .04). None of the patients had morbidities (such as nerve injury, delayed tendon ruptures, or tenosynovitis) around the AHPLT donor site. Three patients were very satisfied, two patients were satisfied, and one patient was fair with the results. Conclusions: Reconstruction of chronic TA tendon ruptures using a free AHPLT autograft could be successfully performed with satisfactory clinical outcomes and minimal donor site morbidities. Future studies with a larger population size and a comparative group are warranted to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of chronic tibialis anterior tendon ruptures using a free anterior half of a peroneus longus tendon autograft: A technical note

Kim

Park

Ahn

et al. 2022

J Orthop Surg (Hong Kong)

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“…Isolated or associated TA lacerations can either occur after a traumatic or as a spontaneous injury and are more common in males in the sixth decade [5]. As TA provides approximately 80% of the ankle's dorsiflexion [6], its preservation is vital for maintaining the normal function of the ankle/foot.…”

Section: Discussionmentioning

confidence: 99%

“…Delayed tendon repairs (later than three months after complete transection) are generally believed to be associated with less favorable outcomes [3]. Regarding TA tendon rupture, in their systematic review with a meta-analysis, Tickner et al [5] reported seven months as the average delay in diagnosis. Additionally, due to tendon retraction, the need for (allo) grafting has even been reported in late cases of TA tendon rupture [7].…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Examination and Navigation for Repeat/Delayed Reconstruction of the Ankle Extensor Tendons

Mezian

Sobotová

Zámečník³

et al. 2021

Diagnostics

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Herein, we describe a 46-year-old woman with persistent pain and weakness in her left ankle/foot one year after surgical repair of all three ankle extensor tendons following a penetrating injury. This report presents a unique case whereby US imaging played a paramount role in the diagnosis and surgical management of a previous nonanatomic repair of the ankle extensor tendons after a penetrating injury one year prior. The above-quoted findings were subsequently corrected with end-to-end sutures. On the third postoperative month follow-up, the patient was free of any complaints or complications.

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“…The literature is replete with case reports and case series (<5 patients) of anterior tibial tendon rupture and tendinopathy (at least 30 individual reports or series). 4,7-9,16-18,20,21 Eight larger case series (7-19 patients) have been published, although they focused almost exclusively on operatively treated patients and largely on ruptures. 6,7,10,11,12,13,15,19 Two meta-analyses have been published, 3,20 although the first of these reviewed fewer patients than in the current series.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Anterior Tibial Tendon Pathology

2020

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Background: Though the tibialis anterior (TA) serves a vital role in ankle dorsiflexion, there is little information regarding risk factors and demographic information that might predispose one to tendinopathy or rupture. This study investigates the features of patients in a single institution who presented with either TA tendinopathy or rupture. The circumstances surrounding rupture were also noted. Methods: ICD-9/10 codes were used to find patients who presented with TA pathology to 2 foot and ankle surgeons at 1 academic medical center from 2011 to 2018. Patient characteristics were noted, including age, sex, body mass index, and the presence of a gastrocnemius equinus contracture. Characteristics of patients with traumatic and atraumatic ruptures were compared. Results: Ninety-four patients presented between 2011 and 2018 (79 cases of tendinopathy and 15 ruptures). The average patient age was 56 years, and the ratio of women to men was 74:20 (3.7:1). With regard to those who experienced rupture, there were 2 ruptures directly related to athletic activity (traumatic), whereas 13 ruptures were found on examination with no overt history of injury (atraumatic). The average age for patients with traumatic ruptures was 39 years compared with 73 years for those with atraumatic rupture ( P < .05). Conclusion: This study investigates the features of patients in a single institution who presented with TA pathology. With regard to tendon ruptures, traumatic ruptures tend to occur in younger patients, whereas older patients are more likely to suffer atraumatic ruptures. Nonoperative treatment often appears to be effective for TA pathology. Level of Evidence: Level III, retrospective comparative series.

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Management of Isolated Anterior Tibial Tendon Rupture: A Systematic Review and Meta-Analysis

Cited by 15 publications

References 66 publications

Reconstruction of chronic tibialis anterior tendon ruptures using a free anterior half of a peroneus longus tendon autograft: A technical note

Reconstruction of chronic tibialis anterior tendon ruptures using a free anterior half of a peroneus longus tendon autograft: A technical note

Ultrasound Examination and Navigation for Repeat/Delayed Reconstruction of the Ankle Extensor Tendons

Risk Factors for Anterior Tibial Tendon Pathology

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