Reports quantifying functional outcome following surgical intervention for these patients is lacking. For example, Garceau et al described and reported the results of transposition of the anterior tibial tendon in patients with recurrent clubfoot. The procedure was described to prevent recurrence of deformity caused by imbalance between muscles everting and inverting the foot. Since this report, numerous authors have described results of the transfer of the anterior tibial tendon for the treatment of residual or recurrent supination or adduction deformity in idiopathic congenital clubfoot. However, none of these studies have been in done in a prospective, quantitative manner and few have utilized measurements obtained through gait analysis.