Split-tendon Docking Technique for Tibialis Anterior Allograft Reconstruction
Bibliographic record
Abstract
Tibialis anterior ruptures present unique surgical challenges due to frequently delayed diagnosis, often necessitating tendon reconstruction. The Pulvertaft weave has been a mainstay for tendon coaptation in graft reconstruction, but the bulky nature of that construct is a disadvantage in areas with limited soft tissue, such as the foot and ankle. Here we introduce the “split-tendon docking” technique as an alternative, aiming to maintain the strength of the tendon coaptation while reducing its profile. Preoperative evaluation is discussed, including clinical and imaging assessments. The technique is described, including the approach, graft preparation, and docking technique. Complications and postoperative care are considered. While the technique requires further use and validation, it presents a promising, lower-profile alternative for foot and ankle tendon coaptation. Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".