Tibialis posterior tendon debridement


Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.


Learn the Tibialis posterior tendon debridement 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 tendon debridement surgical procedure.

In the appropriately selected patient a tibialis posterior tendon debridement and repair will provide a very effective (and rapid) means of both halting  symptoms and also possibly progression of the tendon degeneration. It is used in the main for patients with symptomatic grade 1 tendinosis, according to the classification system of Johnson & Strom. In other words no functional lengthening of the tendon and with the ability to perform a single heel rise still preserved.

A stripping of the paratenon, targeted, limited incisions into all areas of degenerative change and excision and repair of degenerative cysts and tears  is followed by a variable period of non-weight-bearing in cast. This may be as short as two weeks, followed by three to four weeks in a post-operative boot and progressively loading the tendon.

A return to full function is the norm in patients with non-inflammatory conditions as the cause.

Late deterioration is in my experience an uncommon event after an initially successful surgical intervention.

Most cases of grade 1 tendinosis however will settle with conservative management using a long post-operative boot and semi-rigid functional foot orthotic as long as presentation is early enough.

The fuller reconstruction of the degenerate, lengthened and defunctioned tibialis posterior tendon is covered on OrthOracle with techniques including FDL transfer with Calcaneal osteotomy and arthroresis screw https://www.orthoracle.com/library/pes-planus-correction-fdl-transfer-calcaneal-osteotomy-wright-bioarch-arthroresis-screw/ as well as FDL transfer with Calcaneal osteotomy and spring ligament reconstruction https://www.orthoracle.com/library/tibialis-posterior-reconstruction/



Author:Mark Herron FRCS.

Institution: The Wellington Hospital, London, UK.

  • 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.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • 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.
  • Once you have passed the quiz you can return at a future stage & resit .

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.


  • Did you find this technique helpful?
  • YesNo

Lessons Status


Logo Logo Logo Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo Logo