Posterior Tibial Tendon Reconstruction: What is it?
- A tendon in the back of the foot and ankle has torn or stretched out
- This tendon is responsible for maintaining the arch of the foot
When the tendon ruptures, the arch of the foot becomes flat, and no support
is present on the inside of the ankle.
It is not possible to repair the torn tendon, and a new tendon must replace
the torn one.
In order to improve the arch of the foot, and protect the tendon transfer,
something else has to be done to the back of the foot because the tendon
transfer is not strong enough to support the foot and keep it corrected
There are a number of additional procedures that can be performed (many
times with a minimally invasive technique) in order to
straighten and strengthen the foot. Not all of these are done, although
usually, one or more are necessary for a successful surgery. These include a
cut on the heel bone (calcaneus osteotomy), a lengthening of the Achilles
tendon, or a bone cut in the middle of the foot (a cuneiform osteotomy).
Flatfoot Reconstruction - Postoperative Recovery
You will not be walking on the leg for between 2 and 6 weeks depending on
the added procedures are done since the timing of walking depends on what
exactly is done at the surgery
In order to stay off your foot, you will need to use crutches, a walker, a
wheelchair or a scooter-type device called a roll-about.
There will be a hard plaster bandage applied to the leg for two weeks after
- Your first follow-up visit will be at approximately 2 weeks
- We will usually apply a removable boot for you to wear at this time
If the surgery is on your left ankle, you should be able to drive an
automatic vehicle at two weeks. If the surgery is on the right foot, you may
drive between 3 and 4 weeks.
Physical therapy is very helpful to regain the strength and movement of the
- You should plan to use a physical therapist for about 1-2 months
There will be moderate swelling of the foot, ankle, and leg for about 6
You will continue to improve your strength and movement for about 9 months
after the surgery
You can expect to have some soreness and aching for about 4-6 months after
Flatfoot Reconstruction - Specific Post-Operative Course
Foot wrapped in bulky plaster bandage, ice, elevate, take pain medication
- No walking on the surgical extremity
- First follow-up in the office, X-rays taken, dressing changed
The boot is applied to the foot, and weight-bearing, as tolerated, maybe
permitted depending on which procedures were performed
- Full weight in the boot, start physical therapy
By 8 weeks you remove the boot and go into a brace that fits in the shoe for
Request Your Appointment Today!
To request your appointment, please call
(305) 674-2090 or
contact us online today!
Ettore Vulcano, MD (Mount Sinai Medical Center)
4302 Alton Road, Suite 220
Miami Beach, FL 33140
Orthopedic surgeon serving patients in Miami Beach, Miami, and the
surrounding South Florida communities.