Bone tunnel fixation for repair of tibialis anterior tendon rupture.

Atraumatic rupture of the tibialis anterior tendon is rare, and due to the mild nature of pain symptoms, affected patients often present weeks or months after rupture. Surgical management is advocated to restore function in active patients, and historically suture anchors have been the preferred method for repairing the ruptured tendon directly to bone. We present a case of acute, atraumatic tibialis anterior tendon rupture that was anatomically repaired using a novel application of a bone tunnel fixation technique. We describe the surgical procedure and the outcome measures used to evaluate post-operative results in this case. Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.