When is tendon transfer surgery recommended for clubfoot?

Clubfoot turns the foot inward and downward. After casting, bracing, or other treatment, one muscle group may continue to pull the foot into an uneven position. A tendon transfer moves the attachment of a working tendon so its pull supports a more balanced foot position. It does not suit every deformity.

The specialist checks flexibility, foot alignment, muscle strength, skin condition, gait, footwear problems, and whether the foot can be brought toward a usable position. A rigid deformity may need correction before or alongside a tendon procedure, while a flexible, muscle-driven relapse is more likely to be considered for transfer.

Arrange assessment with a foot and ankle orthopaedic team if the foot turns inward again, walking becomes less stable, or bracing no longer controls the position. Continue the prescribed brace, exercises, and stretching until reviewed. Bring previous treatment details and note changes in balance, shoe wear, pain, and activity.

Learn about the procedure in [Tendon Transfer Surgery](/treatments/reconstructive-orthopedic-surgery/tendon-transfer-surgery/).

Seek prompt care for sudden loss of walking ability, a new rapidly worsening deformity, severe pain after an injury, skin breakdown over a pressure point, marked swelling, numbness, or a foot that becomes cold or pale. A clinician can protect the foot and check circulation, nerves, and the cause of the change.

Ask whether the deformity is flexible, which tendon is creating the imbalance, whether casting or bracing should be tried again, what correction is planned, how long protection lasts, and how therapy will rebuild walking control.