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.
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
- Partial tear of the posterior tibial tendon
- Early-stage PTTD with reconstructible tendon
Through a medial incision, diseased tendon is debrided and the tendon is repaired or augmented with an FDL tendon transfer.
- Non-weightbearing 6 weeks
- Boot with progressive weightbearing weeks 6–10
- Physical therapy
- Return to regular shoes 3–4 months
- Wound healing
- Recurrence
- Stiffness
- Nerve injury
Conditions this procedure treats
Posterior Tibial Tendon Dysfunction (PTTD)
Posterior tibial tendon dysfunction (PTTD) is the most common cause of adult-acquired flatfoot. The tendon that supports the arch becomes inflamed, stretched, or torn, leading to gradual arch collapse and pain on the inside of the ankle.
Learn morePosterior 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.
Learn moreFrequently asked questions
Will I need bone surgery too?
Most patients benefit from a calcaneal osteotomy combined with the tendon transfer to correct alignment.
Request a surgical consultation
Tell us a little about what's going on — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.