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(A) A C-arm fluoroscopic image of the drilling procedure from the third to the first cuneiform is shown. (B) The anterior tibialis tendon (ATT) is extracted anteriorly on the tarsus through the osseous tunnel. (C) The new origin of the ATT now is located at the third cuneiform level. (D) The ATT is passed under the extensor retinaculum, whereas the posterior tibialis and flexor digitorum longus tendons are transposed anteriorly through the interosseous membrane.
