Phone: 817-697-4038 Fax: 877-409-3962


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

What Is Posterior Tibial Tendon Repair?

Posterior tibial tendon repair is a surgical procedure performed to treat injuries or tears of the posterior tibial tendon (PTT), which is a critical tendon located on the inner side of the ankle and foot. The posterior tibial tendon plays a crucial role in supporting the arch of the foot and stabilizing the foot during walking and other weight-bearing activities.

Injuries or tears to the posterior tibial tendon can occur due to overuse, trauma, or underlying foot conditions, such as posterior tibial tendon dysfunction (PTTD) or flatfoot deformity. When the posterior tibial tendon is damaged, it can lead to pain, swelling, instability of the foot and ankle, and a progressive collapse of the arch.

The posterior tibial tendon repair procedure involves the following steps:

  1. Anesthesia: The patient is typically given either general anesthesia (to put them to sleep) or regional anesthesia (to numb the lower body) before the surgery.
  2. Incision: The surgeon makes an incision on the inner side of the ankle to access the damaged posterior tibial tendon.
  3. Tendon examination: The surgeon carefully examines the extent of the posterior tibial tendon injury and assesses the condition of the surrounding soft tissues, ligaments, and bones.
  4. Tendon repair: The surgeon may use specialized sutures or anchors to repair and reattach the torn or damaged portions of the posterior tibial tendon.
  5. Soft tissue adjustments: In some cases, the surgeon may need to make adjustments to the surrounding soft tissues, ligaments, or bones to achieve proper alignment and stability of the foot and ankle.
  6. Closure: After the posterior tibial tendon repair and any necessary soft tissue adjustments are completed, the incision is closed with sutures, and the surgical site is dressed and bandaged.

Post-operatively, the patient will need to use crutches or a walker for a period of non-weight-bearing on the affected foot to allow for proper healing of the surgical site and the repaired tendon. A cast or a specialized boot may also be used to protect the foot during the initial healing phase.

Recovery from posterior tibial tendon repair involves rest, elevation, and gradual return to weight-bearing activities under the guidance of a foot and ankle specialist. Physical therapy and rehabilitation exercises are essential to regain strength, flexibility, and function in the foot and ankle during the recovery process.

Posterior tibial tendon repair is generally considered an effective treatment for posterior tibial tendon injuries and can help alleviate pain, restore stability to the foot and ankle, and prevent further arch collapse. However, as with any surgical procedure, there are potential risks and complications, including infection, delayed wound healing, and the possibility of recurrent posterior tibial tendon issues.

The decision to undergo posterior tibial tendon repair is made after a thorough evaluation and discussion with an orthopedic surgeon or a foot and ankle specialist, who will assess the individual’s specific condition, medical history, and overall health to determine if the procedure is the appropriate treatment option.


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.