{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:40:35Z","timestamp":1784335235134,"version":"3.55.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,3,12]],"date-time":"2018-03-12T00:00:00Z","timestamp":1520812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tibialis posterior tendon transfer is performed when loss of dorsiflexion has to be compensated. We evaluated the circumtibial (CT), above-retinaculum transmembranous (TMAR), and under-retinaculum transmembranous (TMUR) transfer gliding resistance and foot kinematics in a cadaveric foot model during ankle range of motion (ROM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Eight cadaveric foot-ankle distal tibia specimens were dissected free of soft tissues on the proximal end, applying an equivalent force to 50% of the stance phase to every tendon, except for the Achilles tendon. Dorsiflexion was tested with all of the tibialis posterior tendon transfer methods (CT, TMAR, and TMUR) using a tension tensile machine. A 10-repetition cycle of dorsiflexion and plantarflexion was performed for each transfer. Foot motion and the force needed to achieve dorsiflexion were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The CT transfer showed the highest gliding resistance ( P &lt; .01). Regarding kinematics, all transfers decreased ankle ROM, with the CT transfer being the condition with less dorsiflexion compared with the control group (6.8 vs 15 degrees, P &lt; .05). TMUR transfer did perform better than TMAR with regard to ankle dorsiflexion, but no difference was shown in gliding resistance. The CT produced a supination moment on the forefoot.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The CT transfer had the highest tendon gliding resistance, achieved less dorsiflexion and had a supination moment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>We suggest that the transmembranous tibialis posterior tendon transfer should be the transfer of choice. The potential bowstringing effect when performing a tibialis posterior tendon transfer subcutaneously (TMAR) could be avoided if the transfer is routed under the retinaculum, without significant compromise of the final function and even with a possible better ankle range of motion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100718760845","type":"journal-article","created":{"date-parts":[[2018,3,12]],"date-time":"2018-03-12T14:02:52Z","timestamp":1520863372000},"page":"843-849","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Biomechanical Evaluation of Circumtibial and Transmembranous Routes for Posterior Tibial Tendon Transfer for Dropfoot"],"prefix":"10.1177","volume":"39","author":[{"given":"Emilio","family":"Wagner","sequence":"first","affiliation":[{"name":"Foot and Ankle Surgeon, Clinica Alemana\u2013Universidad del Desarrollo, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4896-4434","authenticated-orcid":false,"given":"Pablo","family":"Wagner","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgeon, Clinica Alemana\u2013Universidad del Desarrollo, Santiago, Chile"},{"name":"Hospital Militar de Santiago\u2013Universidad de los Andes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Zanolli","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgeon, Clinica Alemana\u2013Universidad del Desarrollo, Santiago, Chile"},{"name":"Hospital Militar de Santiago\u2013Universidad de los Andes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rub\u00e9n","family":"Radkievich","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgeon, Clinica Alemana\u2013Universidad del Desarrollo, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunther","family":"Redenz","sequence":"additional","affiliation":[{"name":"Laboratorio LIBFE, Escuela de Kinesiolog\u00eda, Facultad de Medicina, Universidad de los Andes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Guzman","sequence":"additional","affiliation":[{"name":"Laboratorio LIBFE, Escuela de Kinesiolog\u00eda, Facultad de Medicina, Universidad de los Andes, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,12]]},"reference":[{"issue":"11","key":"bibr1-1071100718760845","first-page":"647","volume":"16","author":"Aydin A","year":"2013","journal-title":"Arch Iran Med"},{"key":"bibr2-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717695508"},{"key":"bibr3-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000149862.58024.3f"},{"key":"bibr4-1071100718760845","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01749"},{"key":"bibr5-1071100718760845","doi-asserted-by":"publisher","DOI":"10.3109\/17453679808999265"},{"key":"bibr6-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2004.03.003"},{"key":"bibr7-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2015.07.008"},{"key":"bibr8-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.10.007"},{"key":"bibr9-1071100718760845","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199606000-00009"},{"key":"bibr10-1071100718760845","first-page":"259","volume":"41","author":"Ozkan T","year":"2007","journal-title":"Acta Orthop Traumatol Turc"},{"key":"bibr11-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e3181c24c38"},{"key":"bibr12-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.12.002"},{"key":"bibr13-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2015.06.023"},{"key":"bibr14-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B4.13696"},{"key":"bibr15-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0249-9"},{"key":"bibr16-1071100718760845","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.1128"},{"key":"bibr17-1071100718760845","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-014-0121-4"}],"container-title":["Foot &amp; 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