Comparing Indications and Techniques of the Tibialis Anterior Tendon Transfer Between Clubfoot Centres in the Netherlands

(Qualtrics, LLC, Provo, Utah, USA). Results The results showed that the TATT procedures differ from one another. How the surgical procedures were performed, in particular, varied to a great extent. However, the majority of clubfoot centres were in agreement when it comes to the age at which the TATT is performed (four to nine) and the postoperative treatment. Moreover, the respondents expressed a mean outcome satisfaction of 7.8 with very little variation. Discussion Based on these results, we conclude that there is a considerable variation between the TATT procedures in different clubfoot centres throughout the Netherlands. Despite this variation in execution, variation in satisfaction outcome among physicians remains limited. However, we do not know whether the satisfaction outcomes match the actual results. Thus, further research into the various methods and their results is required in order to compose adequate and standardised guidelines surrounding the TATT and optimise clubfoot care, keeping in mind that there is more than one way to bake a cake.