Posterior Tibial Tendon Repair — FDL Tendon Transfer with Calcaneal Osteotomy (PTT Repair)

Mammoth Orthopedic Institute / Sierra Park PT · Stephen Knecht MD; Julie Perumal PT DPT

Weight-Bearing

NWB x6 weeks in cast; PWB progressing to WBAT in CAM boot x8 weeks; FWB with normal gait pattern in supportive shoes after 8+ weeks

Key Restrictions

No eversion AROM x6 weeks; no resistance to eversion x8 weeks; no running x4-6 months

Timeline & Phases

4 phases: Phase I (0-6 wks, NWB cast, ankle ROM all planes except active eversion), Phase II (6-8 wks, PWB-WBAT CAM boot), Phase III (8-12 wks, wean boot, initiate eversion strength, single leg balance), Phase IV (12-18 wks, agility/eccentric training, slow return to running 4-6 months)

Notes

Includes calcaneal osteotomy and FDL tendon transfer; pass return to sport test before cutting sports; Julie Perumal PT DPT 7/15/19; Stephen Knecht MD 9/23/19

Surgeon / Author

Stephen Knecht MD; Julie Perumal PT DPT

Published

2019