Transfer of anterior tibial tendon. A, Preoperative appearance of foot; note flexible forefoot supination. B, Lateral half of anterior tibial tendon is released from insertion, with care to resect as distally as possible to maximize graft length. C, Anterior tibial tendon is identified in anterior compartment, and graft is brought into anterior incision. D, Tendon is secured with locked nonabsorbable suture. E, Lateral slip of tendon is passed subcutaneously into third incision on lateral border of foot. F, Corrected position of foot postoperatively; note improved forefoot position and position of transferred tendon. SEE TECHNIQUE 33.16.