The problem being treated
Common problems include peroneal tendon tears and dislocation, and posterior tibial tendon dysfunction leading to flatfoot.
Related conditions: Peroneal Tendon Injuries, Flat Feet, Chronic Ankle Instability.
When surgery may be appropriate
- Tendon tears that remain painful despite bracing and therapy
- Tendons that repeatedly dislocate
- Progressive flatfoot from posterior tibial tendon dysfunction
How the procedure works
- Damaged tendon tissue is removed and the tendon repaired.
- Severely damaged tendons may be connected to a neighboring tendon, or replaced by transferring a healthy tendon.
- Dislocating tendons are stabilized by deepening their groove and repairing the retaining tissue.
- Tendon procedures are often combined with bone realignment.
Typical restrictions after surgery
- Non-weight-bearing or boot for several weeks
- Physical therapy once healing allows
Your surgeon will give instructions specific to your procedure; these are general guidelines only.
General recovery phases
- Weeks 0–2Splint; rest and elevation.
- Weeks 2–6Boot; weight-bearing as directed.
- Weeks 6–12Physical therapy.
- Months 3–6Return to activity.
Frequently asked questions
What is a tendon transfer?
Moving a healthy tendon to take over the job of a damaged one. The body adapts well to many common transfers.
Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.