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


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 is a condition where the posterior tibial tendon, which supports the arch of the foot, becomes damaged or weakened, leading to the progressive collapse of the arch and instability of the foot.

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. The transferred tendon is usually repositioned to provide support to the arch and stabilize the foot.

The procedure generally 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 foot and ankle to access the posterior tibial tendon and the tendon that will be used for transfer.
  3. Tendon transfer: The surgeon carefully detaches the healthy tendon from its original insertion point and repositions it to the area of the damaged posterior tibial tendon. The transferred tendon is secured in its new position using sutures or specialized anchors.
  4. 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.
  5. Closure: After the tendon transfer 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 transferred 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 transfer 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 transfer is generally considered an effective treatment for posterior tibial tendon dysfunction and acquired adult flatfoot deformity. It can help stabilize the foot, restore arch support, and improve overall foot function. However, as with any surgical procedure, there are potential risks and complications, including infection, delayed wound healing, and the possibility of recurrent foot issues.

The decision to undergo posterior tibial tendon transfer 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.