Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot by Joshua B. Holt, Brian Westerlind, and Jose A. Morcuende JBJS Essent Surg Tech Volume.

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Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot by Joshua B. Holt, Brian Westerlind, and Jose A. Morcuende JBJS Essent Surg Tech Volume 5(3):e16 August 26, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph demonstrating the typical incision overlying the tibialis anterior tendon insertion. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing the vein commonly encountered during exposure of the tibialis anterior tendon. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph demonstrating 360° isolation of the tibialis anterior tendon with a Graham hook. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing sharp release of the tibialis anterior tendon at its insertion, without damaging the associated periosteum and underlying cartilage or bone. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Radiographs made after bilateral tibialis anterior tendon transfer. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photographs illustrating the Bunnell-type stitch of the released tendon. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing intraoperative use of fluoroscopy to confirm the location of the lateral cuneiform. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative fluoroscopic image confirming the position of the lateral cuneiform. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative fluoroscopic image confirming the position of the Keith needle in the lateral cuneiform prior to drilling of the osseous tunnel. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph demonstrating use of a handheld drill to create the osseous tunnel in the lateral cuneiform. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph illustrating the passing of the sutures and tendon through the osseous tunnel and out the plantar aspect of the foot with Keith needles. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Photograph demonstrating the tendon fixation technique with sutures tied over non-stick gauze, foam, and a button on the plantar aspect of the foot. Joshua B. Holt et al. JBJS Essent Surg Tech 2015;5:e16 ©2015 by The Journal of Bone and Joint Surgery, Inc.