Foot + Ankle Problems + Treatments

Posterior Tibial Tendon Injury

Type of Procedure: Outpatient
Length of Procedure: 1 hour
Anesthesia: General or IV sedation with block

Postoperative recovery

  • Weight-bearing is restricted for between 2 and 6 weeks, depending on the procedures performed.
  • In order to prevent weight-bearing, crutches, a walker, a wheelchair, or a scooter type device called a roll about may be used.
  • There will be a bulky splint applied to the leg for two weeks after surgery
  • Your first follow up visit will be at approximately 2 weeks to remove the stitches
  • A removable CAM walker boot is typically applied at this time.
  • If the surgery is on your left ankle, you should be able to drive an automatic vehicle at two weeks.
  • You may begin to walk with the boot at about 3 weeks, depending upon your level of discomfort, and the instructions given to you.
  • Physical therapy may be recommended
  • There will be swelling of the foot and ankle for up to one year
  • You will continue to improve your strength and movement for about one year after the surgery
  • You can expect to have some soreness and aching for about 6 months after surgery

Post Operative Course

Day of surgery

  • Foot wrapped in bulky splint; ice, elevate, and take pain medication
  • Expect numbness in foot for 12 24 hours
  • Bloody drainage is expected

Day 14

  • First follow up in the office, X rays taken, dressing changed, sutures/staples removed
  • Boot is applied to the foot, and frequently weight bearing as tolerated is permitted

6 – 8 weeks

  • Full weight in the boot, start physical therapy
  • By 8 weeks you may start to transition into a regular shoe with an orthotic arch support.