Long-term Outcomes Following Anterior Tibialis Tendon Reconstruction with Hamstring Autograft in a Series of 3 Cases

Ruptures of the anterior tibialis tendon are uncommon, and there is a paucity of information regarding long-term ankle function following surgical reconstruction using hamstring autograft. In this case series, examinations were performed on 3 individuals who underwent anterior tibialis tendon reconstruction with hamstring autograft performed by the same surgeon. Two subjects were examined 8 years after reconstructive surgery, and 1 was examined at 5 years postoperative. Muscle strength and range of motion of subjects' ankles bilaterally were assessed using standard measures. The Tinetti Performance Oriented Mobility Assessment and the modified Gait Abnormality Rating Scale were used to assess gait and balance. The information gathered from these 3 cases indicates that tibialis anterior strength and ankle range of motion can be maintained or improved years after anterior tibialis reconstruction with hamstring autograft, and these individuals have a low risk of falling long after the repair has healed. Level of Clinical Evidence: 4