Modified bridle tendon transfer procedure following a complete musculature loss of the anterior leg compartment: Case report and literature review

The complete musculature loss of the anterior compartment of the leg is a rare complication that occurs as a result of local tissue damage, intracompartmental bleeding and ischemia-reperfusion events. It causes foot drop and equinovarus deformity that negatively impact the quality of life of affected patients. This report describes a modified bridle tendon transfer procedure to correct this defect in a case of extensive muscle necrosis secondary to local hemorrhage. A review of the literature was carried out to elucidate the benefits and risks associated to this technique.