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Current treatment of long-standing anterior tibialis tendon rupture with a large tendon defect is not well described. We present a technique for management of large tendon defects greater than 4 cm not otherwise amenable to currently described techniques of tendon repair. Allograft reconstruction is a viable alternative and functions well if the muscle has no evidence of fatty infiltration. This technique results in an anatomic repair without utilizing tendon transfer.
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Deanna M. Boyette (2008) studied this question.
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