Tibialis anterior tendon transfer (TATT) is a recognised procedure for the treatment of recurrent congenital talipes equinovarus. The most common technique in use requires three skin incisions and breaching of the plantar tissues, risking pressure areas and damage to neurovascular structures. There have been no studies showing the clinical results of the use of a bone anchor to secure the tendon without drilling through the lateral cuneiform. This study presents the largest series of outcomes for such a procedure. Retrospective case series. Electronic records for all children under 18 undergoing TATT with anchor fixation included. Outcomes recorded were a failure of the tendon transfer and complications. Seventy-seven feet were identified in 61 children with a male-to-female ratio of 2.5:1, the average age at surgery of 5.6 years, and an average follow-up of 4.4 years. There were no cases of pullout of the anchor. Seventy-six cases (98.7%) had no recurrence of dynamic supination on follow-up. No revision surgery was required. Consistently reliable, reproducible and safe fixation of the tibialis anterior tendon in TATT can be achieved using a bone anchor for the treatment of dynamic supination in children with clubfeet following correction using the Ponseti method and is a quick and straightforward alternative method to traditional techniques.

胫骨前肌腱移植术（TATT）是公认的治疗复发性先天性马蹄内翻足的手术。最常用的技术需要三个皮肤切口并破坏足底组织，从而存在压力区域和神经血管结构损伤的风险。目前还没有研究显示使用骨锚固定肌腱而不钻穿外侧楔骨的临床结果。这项研究展示了此类手术的最大系列结果。回顾性案例系列。所有 18 岁以下儿童接受 TATT 固定锚固的电子记录。记录的结果是肌腱转移失败和并发症。61名儿童共发现了77只脚，男女比例为2.5:1，平均手术年龄为5.6岁，平均随访时间为4.4年。没有出现锚拉出的情况。76例（98.7%）随访时动态旋后未复发。不需要进行修复手术。使用骨锚可以在 TATT 中实现一致可靠、可重复且安全的胫骨前肌腱固定，用于治疗马蹄内翻足儿童在使用 Ponseti 方法矫正后的动态旋后，并且是传统技术的一种快速、直接的替代方法。