POSTERIOR TIBIAL TENDON TRANSFER

If you need a Posterior Tibial Tendon Transfer, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Posterior Tibial Tendon Transfer?

Posterior tibial tendon transfer is a surgical procedure performed to treat certain foot and ankle conditions, particularly cases of posterior tibial tendon dysfunction (PTTD) or acquired adult flatfoot deformity. PTTD presents as damage or weakening of the posterior tibial tendon, causing the gradual collapse of the arch and foot instability.

During the posterior tibial tendon transfer procedure, the surgeon transfers a healthy tendon from another part of the foot or leg to replace the function of the damaged or dysfunctional posterior tibial tendon. Surgeons typically reposition the transferred tendon to support the arch and stabilize the foot.

Procedure

Before surgery, medical staff typically administer either general anesthesia to induce sleep or regional anesthesia to numb the lower body. The surgeon then makes an incision on the inner side of the foot and ankle to access the posterior tibial tendon and the tendon slated for transfer. Carefully, the surgeon detaches the healthy tendon from its original insertion point and relocates it to the area of the damaged posterior tibial tendon. They secure this transferred tendon in its new position using sutures or specialized anchors. In some cases, adjustments to the surrounding soft tissues, ligaments, or bones may be necessary to achieve proper alignment and stability of the foot and ankle. Following the tendon transfer and any needed soft tissue adjustments, the surgeon closes the incision with sutures and dresses and bandages the surgical site.

Rehabilitation and Therapy

After surgery, the patient will require crutches or a walker for a period of non-weight-bearing on the affected foot to facilitate proper healing of the surgical site and the transferred tendon. Moreover, doctors may use a cast or specialized boot to protect the foot during the initial healing phase.

Moreover, recovery from this condition entails rest, elevation, and gradual resumption of weight-bearing activities under the supervision of a foot and ankle specialist. Integral to the recovery process are physical therapy and rehabilitation exercises aimed at restoring strength, flexibility, and function in the foot and ankle.

Moreover, the medical community generally considers posterior tibial tendon transfer an effective treatment for posterior tibial tendon dysfunction and acquired adult flatfoot deformity. It aids in stabilizing the foot, reinstating arch support, and enhancing overall foot function. Nonetheless, like any surgical intervention, potential risks and complications exist, including infection, delayed wound healing, and the chance of recurrent foot issues.

Following a thorough evaluation and discussion with an orthopedic surgeon or foot and ankle specialist, the decision to undergo posterior tibial tendon transfer is determined. They assess the individual’s specific condition, medical history, and overall health to determine if the procedure is suitable.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.