Introduction:

bilateral compartment syndrome (CS) of the lower extremities is a rarely described entity with potentially devastating sequelae. Foot drop is a common sequelae of CS of the leg.

Materials and Methods:

this is a case report in which a bilateral transfer of the posterior tibial tendon to the anterior tibial tendon and toe extensors was performed following the technique described by Di Masi.

Results:

the patient' gait and function improved, with good/excellent results according to the Stanmore and AOFAS scales, without the use of orthoses, and with pain-free gait.

Conclusion:

the use of this technique of transferring the posterior tibial tendon in two hemitendons to the anterior tibial tendon and toe extensors is presented as an alternative with good short- and medium-term functional results.

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