The “bridle” procedure is a modification of the transfer of the tibialis posterior to the dorsum of the foot for the treatment of a supple equinus or equinovarus deformity of the ankle and hindfoot. It consists of a transfer of the posterior tibial tendon through the interosseous membrane to the dorsum of the foot with concomitant anastomosis to the anterior tibial and peroneus longus tendons. It is indicated primarily in the setting of a drop-foot and a steppage gait, which is awkward, energy consuming, and physically limiting
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The Bridle Procedure
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