Tibialis posterior reconstruction involves using another tendon in your foot as a substitute for the damaged tibialis posterior (TP). It is used to treat tibialis posterior tendon dysfunction and as part of flat foot reconstruction surgery.
In most cases, the tendon transferred to where the normal TP is found is called flexor digitorum longus (FDL), which normally helps to bend your toes. Transferring the FDL to substitute the TP tendon does not usually cause problems, and you should still be able to bend your toes.
However, the tendon transfer alone is not strong enough to support your foot arch. To help the newly transferred tendon to work effectively, the operation is usually performed alongside a calcaneal osteotomy where the surgeon makes a cut in the heel bone to reposition it, fixing it in place with a metal screw. Repositioning the heel bone helps improve support to the arch of your foot.
Important:This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery