Closed Rupture of Anterior Tibial Tendon and Reconstruction With Hamstring Autograft and Extensor Retinaculum Preservation

Case: A 49-year-old patient with an indolent history of ankle pain and edema presented to the orthopaedic clinic with a documented anterior tibial tendon rupture with a gap of 6 cm. The patient underwent anterior tibial tendon reconstruction with a hamstring autograft and extensor retinaculum preservation. Conclusion: The use of a hamstring autograft in tibialis anterior reconstruction yields positive clinical outcomes. This surgical approach effectively restored the postoperative ankle range of motion and enhanced tendon strength in both inversion and dorsiflexion.