Surgical Management of Posterior Tibial Tendon Dysfunction

Abstract

Management of posterior tibial tendon dysfunction can be a controversial topic. Posterior tibial tendon dysfunction is a progressive deformity of the foot and ankle and can be very debilitating if not properly treated. The key to successful outcomes begins with a prompt diagnosis and staging of the deformity. Often the early stages of posterior tibial tendon dysfunction can be conservatively managed and progression can be halted before significant deformity ensues. Those that require surgical intervention can be treated with soft tissue balancing and osseous reconstruction. The focus of this chapter is to review the surgical options available for correction of posterior tibial tendon dysfunction.