Principles and Biomechanical Considerations of Tendon Transfers

Abstract

Whether performed as a primary procedure or used to augment and support osseous reconstruction, tendon transfers are a key skill for the foot and ankle surgeon. Understanding the biomechanics preoperative and postoperatively is essential in performing appropriate procedures and in supporting patients through the rehabilitation process. Often the complexity of tendon transfer surgery is lost because it is deemed a soft tissue procedure and in theory should be less complex than osseous procedures. However, the dynamic nature of musculature and tendons require a deeper understanding of surgical and biomechanical concepts.

Keywords: Anatomy of the tendon; Biomechanics of tendon transfers; Principles of tendon transfers; Tendon surgery; Tendon transfers.