الفهرس 
Relevant AnatomyOnly 14 pages are availabe for public view
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Abstract
The Ponseti method to treat idiopathic clubfoot had good results in both short-term (93) and long-term follow-ups. (86) However, relapses are common and continue to be the most important problem in its management. Relapses are related to compliance with the foot abduction brace (54).Ponseti reported in his initial follow-up study that 51% of his corrected clubfeet later required a TATT. (86) Treatment of relapses involves repeat casting and/or surgical intervention with tibialis anterior tendon transfer (TATT) to the third cuneiform. (116) The present study was planned to evaluate functional and radiological results of tibialis anterior tendon transfer for residual supination deformity after
Ponseti, in 20 patients with 20 feet and they were followed for a minimum of 6 month. The average age of the patients was 4 years and 7 months,ranging from
2.5 to 7 years, 13 of them were males. Inclusion criteria, include unilateral or bilateral idiopathic club foot.,Ponseti method used for initial treatment, age more than 2 years, deformity is dynamic and corrected with no structural deformity existing, follow up at least 6 months postoperatively. Exclusion criteria include Age less than 2 years, atypical or syndromic clubfoot, contraindications to general anesthesia, surgically treated club foot. All were treated by total transfer
of tibialis anterior tendon from it’s insertion to the lateral cuniform. The functional evaluation of the patients was based on evaluating by the modified rating system for functional results (Ezra et.al) (9).