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Evolution of Tendon Transfer to Allograft Reconstruction in Foot and Ankle Surgery

Aiyer, Amiethab MD*; Smyth, Niall MD*; Avila, Adriana MD; Kaplan, Jonathan MD; Myerson, Mark MD§

Techniques in Foot & Ankle Surgery: September 2017 - Volume 16 - Issue 3 - p 108–116
doi: 10.1097/BTF.0000000000000152
Special Focus: Soft Tissue Reconstruction in the Foot and Ankle

Over the past several years, tendon transfers have been used to help correct deformity in a variety of clinical situations. Commonly, transfers are often used for addressing diseased tendons, including the anterior tibialis tendon, the Achilles tendon, the peroneals or the posterior tibialis tendon. Although good clinical/functional outcomes have demonstrated after tendon transfers, there has been, increasing interest in using bulk allograft tendon tissue for reconstructing deficient soft tissues. Allograft tendons provide a more comparable size to the once healthy, native tendon and may potentially improve functional outcomes. In this over view, we will review the pathoanatomy of tendon transfers, common clinical applications of tendon transfers, perioperative considerations with regard to use of tendon allografts and tendon allograft techniques in foot and ankle surgery.

*Department of Orthopaedic Surgery, University of Miami/Miller School of Medicine, Miami, FL

Department of Orthopaedic Surgery, Centro Médico ABC, Campus Santa Fe, Mexico City, Mexico

Orthopaedic Specialty Institute, Orange, CA

§The Foot & Ankle Association Inc., Baltimore, MD

The authors declare no conflict of interest.

Address correspondence and reprint requests to Amiethab Aiyer, MD, Department of Orthopaedic Surgery, University of Miami/Miller School of Medicine, 900 NW 17th St., Ste 10A, Miami, FL 33136. E-mail:

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