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Anterior transfer of the posterior tibial muscle with its tendon is an acknowledged procedure to treat paralysis or weakness of ankle dorsi?exion. Conditions in which this can occur include foot-drop after peroneal nerve injury, poliomyelitis, Charcot-Marie-Tooth disease, residuals of Guillain-Barr´e syndrome, and leprosy. Transfer of the posterior tibial tendon also can be considered in equinovarus deformity caused by weakened antagonists of the posterior tibial tendon.
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