Posterior Tibial Tendon Transfer. Many different methods have been established for fixating the tendon each of which has its own indications. The end of the posterior tibial tendon is prepared for transfer by suturing it and passing the suture across the interosseous membrane opening.

The posterior tibialis is the main dynamic stabilizer of the hindfoot. The tibialis posterior is important as it helps to hold the arch of the foot up and stop the foot rolling over. In posterior tibial tendon dysfunction posterior tibial tendon dysfunction is a very common problem.
The surgical procedure for a foot drop is called a tendon transfer.
When performed correctly with the right patient population a tibialis posterior muscletendon transfer is an effective procedure. As a result the tendon may not be able to provide stability and support for the arch of the foot resulting in flatfoot. Fdl transfer and calcaneal osteotomy. Posterior tibial tendon transfer has long been the mainstay to combating drop foot.