Anterior tibial tendon transfer in idiopathic clubfoot: pull-out vs. other fixations - a systematic review.

Purpose: Review the literature and describe the complications associated with each of the anterior tibial tendon transfer (ATTT) techniques described.

Methods: A systematic review of the literature was performed with the keywords ''clubfoot'', ''Ponseti'' and ''anterior tibial''. Studies in patients with clubfoot recurrence, who underwent ATTT, whose method of tendon fixation was different from the classical method, were included.