Evidence map›Paper›PMID 42460172›Full record

ArticleCureus2026

Anterior Tibial Tendon Transfer for Relapsed and Residual Clubfoot Deformity and Functional Outcome With Timely Intervention: How Have We Done Over the Last Five Years?

Irfan Ahmad, Rana Dilawaiz Nadeem, Muhammad Ayaz Ul Haq Chatta

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Irfan AhmadTrauma & Orthopaedics Surgery, King's College Hospital, London, GBR.
Rana Dilawaiz NadeemTrauma & Orthopaedics Surgery, Rashid Latif Khan University (RLKU) Medical College, Lahore, PAK.
Muhammad Ayaz Ul Haq ChattaTrauma & Orthopaedics Surgery, Navan Regional Orthopaedic Unit, Our Lady's Hospital, Navan, IRL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the functional and clinical outcomes of anterior tibial tendon transfer in patients with relapsed or residual clubfoot deformity presenting with dynamic supination and forefoot adduction after treatment with the Ponseti method. MATERIALS AND

methodsA retrospective multicentre review was conducted on patients with idiopathic clubfoot treated by the Ponseti method who subsequently developed relapse with forefoot adduction and dynamic supination between January 2019 and January 2024 at Mayo Hospital and Rashid Latif Khan University, Lahore, Pakistan. All procedures were performed by a single surgeon. Forty patients (55 feet) underwent anterior tibial tendon transfer; 23 feet (41.8%) additionally required Achilles tenotomy. Mean age at surgery was 6.2 ± 2.5 years, and mean follow-up was 3.2 ± 1.5 years. Functional and clinical outcomes, along with parental satisfaction, were assessed.

resultsAmong 40 patients (55 feet), 26 (65%) were males and 14 (35%) females; 15 (55%) had bilateral and 25 (45%) unilateral deformities. Mean preoperative score improved from 89.8 ± 12.3 to 134.4 ± 10.5 postoperatively (p < 0.005). Postoperative outcomes were excellent in 45 (81.8%) feet and good in 10 (18.2%) feet. All patients demonstrated improvement in functional grading.

conclusionAnterior tibial tendon transfer resulted in significant improvement in functional outcomes and correction of residual dynamic clubfoot deformity. Early intervention may help achieve correction before the development of rigid deformity.

Indexed as

achilles tenotomyclubfootponseti methodrecurrencetibialis anterior tendon transfertreatment outcome

Identifiers

PMID42460172
PMCPMC13369517

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