Posterior Tibial Tendon Rupture
A complete or high-grade tear of the posterior tibial tendon causes rapid loss of arch support and progressive flatfoot. Surgical reconstruction is usually required to restore function.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Sudden or rapidly worsening flatfoot
- Pain on the inside of the ankle
- Inability to perform a single-leg heel raise
- Visible bulging or absence of the tendon
- End-stage PTTD
- Acute injury in adults with pre-existing tendinosis
- Inflammatory arthritis
- AFO bracing for non-surgical candidates
- Custom orthotics for partial tears
Most complete tears require surgical reconstruction with tendon transfer and bony correction.
Surgical procedures we perform
Posterior Tibial Tendon Repair
Posterior tibial tendon repair restores the arch-supporting tendon damaged by PTTD or rupture. Often combined with a tendon transfer and bony realignment for the best outcome.
Learn moreFDL Tendon Transfer with Calcaneal Osteotomy
The standard reconstruction for flexible adult acquired flatfoot — the flexor digitorum longus (FDL) tendon is transferred to replace the failed posterior tibial tendon, and the heel bone is realigned with a calcaneal osteotomy.
Learn moreExpect 6–8 weeks non-weightbearing followed by gradual return to weightbearing. Full recovery takes 6–12 months.
Frequently asked questions
What is the difference between PTTD and a posterior tibial rupture?
PTTD describes inflammation and degeneration; rupture is a complete tear. Many ruptures are end-stage PTTD that has progressed.
Related conditions
Schedule a consultation
Tell us about your posterior tibial tendon rupture — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.