Around 25%- 30% of children with clubfeet end up having a recurrence of one or multiple parts of the clubfoot deformity. The tibialis anterior tendon inserts on the inside of the foot (medial cuneiform) and can cause your child’s foot to pull in. This surgery moves the tendon to a more centralized bone in the foot (lateral cuneiform) and helps your child’s foot pull in a balanced manner. If a child’s clubfoot deformity has relapsed, Ponseti casting may be performed prior to the tendon transfer to stretch the foot out before surgery. Sometimes, other surgeries are done at the same time to address other tight tendons.
- Tendon transfer (Tibialis Anterior Tendon Transfer)
- Tendon lengthening
- Tendoachilles lengthening [TAL]
- Posterior Tibialis Tendon lengthening
About The Recovery:
- Your child will go home the day of surgery
- Casting/Bracing: A cast will be in place for 6 weeks. Young children will be placed into a long leg with the knee bent to prevent them from walking. After 6 weeks, the child will transition to a boot for walking and, depending on age, may go back into boots/bar brace at nights and naps.
- More Surgery in future? There is typically no additional surgery needed, unless other deformities recur
