Tibialis Anterior Tendon Partial Release And Plantar Implant Placement For Midfoot Arthrodesis: Technique Tip

Midfoot arthrodesis is generally a reliable and commonly performed operative procedure for deformity correction and pain relief. Biomechanical studies suggest the superior strength of plantar-based plates compared with traditional dorsally placed plates and screws. Multiple structures must be considered when accessing the medial column on the plantar surface, including the saphenous neurovascular bundle and the tibialis anterior tendon insertional footprint. Some skeptics are concerned over possible tibialis tendon rupture after placing plantar-based plates. This novel technique demonstrates the ability to safely apply for plantar plates with no tibialis anterior ruptures.