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 done since the timing of walking depends on what exactly is done at 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 surgery
- 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 ankle
- 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 months
- 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 surgery
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
- Boot is applied to the foot, and weight-bearing, as tolerated, may be permitted depending on which procedures were performed
- Full weight in the boot, start physical therapy
- By 8 weeks you remove boot and go into a brace which fits in the shoe for one month
Request Your Appointment Today!
To request your appointment, please call (786) 386-0062 or contact us online today!
Ettore Vulcano, MD (Mount Sinai Medical Center)
4302 Alton Road, Suite 220
Miami Beach, FL 33140
Phone: (786) 386-0062
Orthopedic surgeon serving patients in Miami Beach, Miami, and the surrounding South Florida communities.