Tibialis Posterior Reconstruction for pes planus


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Learn the Tibialis Posterior Reconstruction for pes planus surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Tibialis Posterior Reconstruction for pes planus surgical procedure.

The operation described using a Flexor Digitorum Longus(FDL) transfer, spring ligament plication and medialising calcaneal osteotomy is the classic reconstruction for a grade 2 (flexible ) flat foot due to Tibialis Posterior dysfunction.

Tibialis Posterior dysfunction is typically a condition of middle age and onwards in which conservative management with orthotics and physiotherapy is usually the first line of management and often successful (in approximately two thirds of cases).

Surgical correction of the flexible flat foot using the FDL transfer with calcaneal osteotomy (and other procedures) results in high patient satisfaction rates and symptomatic relief  but with a slightly lower incidence of maintained correction of the pes planus deformity. A proportion of patients, though improved, still require the use of a corrective orthotic.


Author: Mark Herron FRCS.

Institution: The Wellington Hospital , London

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
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  • The timer suspends after 5 minutes though if there is no activity.
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  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
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CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity


Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.


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