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Noninsertional Tibialis Anterior Tendon Rupture Managed With Midsubstance SpeedBridge Repair

Tibialis anterior tendon rupture is uncommon but can lead to substantial functional impairment and persisting pain. Operative repair of the ruptured tendon is warranted in most cases, but little data exist on outcomes and surgical techniques for repair. To date, the literature contains only small retrospective review series and case reports on the management of this injury. We introduce a new technique for repair of lacerated tibialis anterior tendons using the Midsubstance SpeedBridge. This method is an adaptation of a previously described technique for treating Achilles tendon ruptures. The benefits of this construct are that it allows for direct tendon-bone fixation, it is knotless, and it can be preloaded to minimize postoperative repair elongation. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.