ArticlePakistan journal of medical sciences2026
Outcome of tibialis anterior tendon transfer in recurrent relapsed clubfoot deformity with concomitant peroneal nerve dysfunction.
Article in Pakistan journal of medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To assess the clinical and functional outcome of Tibialis Anterior Tendon Transfer in Recurrent Relapsed Idiopathic Clubfoot Deformity associated with peroneal nerve dysfunction. Methodology: This observational study included 16 (2.11%) of 756 Idiopathic Clubfoot Deformity (CFD) patients with recurrent and relapse deformity following Ponseti management, treated during January 1, 2011 to December 31, 2023 at Ziauddin Hospital Clifton, Karachi, Pakistan. Included patients had evertors and toe extensors weakness associated with concomitant Peroneal Neuropathy. Following an initial Ponseti re-casting, Extended Posterior Release (EPR) and Tibialis Anterior Tendon Transfer (TATT) was performed. Clinical and functional outcomes were assessed on Nogueira and Songs satisfaction protocols. Results: All 16 patients had bilateral idiopathic Clubfoot deformity at initial treatment, who developed Iatrogenic Complex Clubfoot deformity with concomitant Peroneal nerve dysfunction, four of these had recurrent relapse on left side only. Their muscle charting revealed peroneal and toe extensor muscles weakness, while Tibialis Anterior strength was grade IV. Five patients had flexible deformity, while 11 patients had fixed severe deformities. Thirteen patients underwent EPR and TATT, while three had Posterio-Medial Release and TATT. At 3-10 years of follow-up, six patients improved from Nogueira Poor to good Nogueira outcome and Satisfied on Song's Scale. While three patients achieved Nogueira's "Poor" and "Very dissatisfied" on Song's criteria. Conclusion: A small and rare sub-set of iatrogenic complex clubfoot deformity with peroneal nerve dysfunction, is undoubtedly difficult to treat. Early diagnosis and treatment prevents extensive surgical interventions, which is required mostly in late presenting, rigid deformities. The association between peroneal neuropathy and preserved tibialis anterior muscle strength in these patients remains poorly understood.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.