Removing the Tibialis Posterior After Fusion: Should You or Shouldn’t You?
Considering removing the tibialis posterior after fusion? We’ve got the answers you’re looking for. In this article, we’ll delve into the pros and cons of removing this important tendon and help you make an informed decision. Stay tuned to learn all you need to know about this controversial topic.
Contents
- Considerations Before Removing the Tibialis Posterior
- Potential Benefits of Removing the Tibialis Posterior After Fusion
- Possible Complications of Tibialis Posterior Removal
- Alternative Treatment Options to Tibialis Posterior Removal
- Expert Opinions on Tibialis Posterior Removal After Fusion
- Factors to Evaluate Before Making a Decision
- Long-Term Effects of Tibialis Posterior Removal
- Patient Success Stories Post-Tibialis Posterior Removal
- Recommendations for Surgeons Facing this Decision
- To Conclude
Considerations Before Removing the Tibialis Posterior
When considering whether to remove the Tibialis Posterior after fusion, there are several important factors to take into account. This decision should not be taken lightly, as it can have a significant impact on the functionality and stability of the foot. Here are some key considerations:
- Functional Limitations: Removing the Tibialis Posterior can lead to functional limitations in the foot, particularly when it comes to walking, running, and maintaining balance. It plays a crucial role in supporting the arch of the foot and controlling its movement.
- Risk of Complications: There is always a risk of complications with any surgical procedure, including the removal of the Tibialis Posterior. These can include infection, nerve damage, and prolonged recovery time.
- Consultation with a Specialist: Before making a decision, it is essential to consult with a foot and ankle specialist who can provide expert advice based on your individual circumstances. They can assess the risks and benefits of removing the Tibialis Posterior in your specific case.

Potential Benefits of Removing the Tibialis Posterior After Fusion
Having a fusion of the tibialis posterior can have a significant impact on the function and stability of the foot. While the decision to remove the tibialis posterior after fusion is a complex one that should be made in consultation with a medical professional, there are potential benefits to consider:
- Improved range of motion: Removing the tibialis posterior can sometimes result in increased flexibility and range of motion in the foot, which can be beneficial for activities that require a lot of movement.
- Reduced pain: In some cases, removing the tibialis posterior can help alleviate pain that may be present after fusion surgery, improving overall comfort and quality of life.
- Enhanced surgical outcomes: By removing the tibialis posterior after fusion, it may help improve the overall success of the fusion surgery and promote better healing and recovery.

Possible Complications of Tibialis Posterior Removal
Removing the Tibialis Posterior can lead to several potential complications that patients should be aware of before making a decision. These complications include:
- Chronic pain in the foot and ankle
- Decreased range of motion in the foot
- Increased risk of developing flatfoot deformity
It is important to weigh the potential benefits of removing the Tibialis Posterior against these possible complications. Consulting with a trusted healthcare provider and discussing individual health goals and concerns is crucial in making an informed decision.
Alternative Treatment Options to Tibialis Posterior Removal
For those considering the removal of the tibialis posterior after fusion surgery, it’s important to weigh the pros and cons carefully. While removal of the tibialis posterior can alleviate pain and discomfort in some cases, it can also result in a loss of function and stability in the foot. Here are some alternative treatment options that may be worth considering:
- Physical Therapy: Physical therapy can help strengthen the muscles in the foot and ankle, improving stability and function without the need for surgery.
- Orthotic Inserts: Custom orthotic inserts can provide support and alleviate pressure on the affected area, reducing pain and discomfort.
- Shockwave Therapy: Shockwave therapy can help stimulate healing and reduce inflammation in the foot, promoting natural recovery without invasive procedures.
Ultimately, the decision to remove the tibialis posterior after fusion surgery should be made in consultation with a healthcare professional who can provide personalized advice based on your specific condition and needs.

Expert Opinions on Tibialis Posterior Removal After Fusion
When it comes to the decision of whether or not to remove the Tibialis Posterior after fusion surgery, experts in the field have differing opinions. Some argue that removing the muscle can lead to improved ankle function and reduced pain, while others believe that preserving the Tibialis Posterior is essential for maintaining proper foot alignment and stability.
One school of thought suggests that removing the Tibialis Posterior can prevent complications such as tendon dysfunction and arthritis in the ankle joint. Conversely, proponents of preserving the muscle argue that it plays a crucial role in supporting the arch of the foot and preventing flat foot deformity.
Ultimately, the decision to remove or preserve the Tibialis Posterior after fusion surgery should be made on a case-by-case basis, taking into account the unique needs and goals of each patient. Consultation with a qualified orthopedic surgeon is essential in making an informed decision.

Factors to Evaluate Before Making a Decision
When considering whether to remove the Tibialis Posterior after fusion, there are several important factors to take into account. It’s crucial to weigh the potential risks and benefits to make an informed decision that is best for your individual circumstances. Here are some key factors to consider:
- Success of Fusion: Evaluate the success of the initial fusion surgery and whether removal of the Tibialis Posterior will compromise the stability of the fusion.
- Severity of Symptoms: Consider the extent of your symptoms and whether removal of the Tibialis Posterior will help alleviate pain and improve function.
- Recovery Time: Understand the potential recovery time and rehabilitation process post-removal surgery to assess the impact on your daily life and activities.

Long-Term Effects of Tibialis Posterior Removal
After undergoing fusion surgery in the ankle, some patients may eventually consider the removal of the tibialis posterior tendon due to ongoing pain or discomfort. While this may seem like a viable solution, it is important to weigh the potential long-term effects of such a decision.
One of the primary concerns with removing the tibialis posterior tendon is the potential impact on foot and ankle stability. This tendon plays a crucial role in supporting the arch of the foot and maintaining proper alignment during movement. Without it, there is a risk of developing flatfoot deformity, which can lead to chronic pain and further complications.
Additionally, removing the tibialis posterior tendon can also result in decreased overall foot function and mobility. Patients may experience difficulty with activities that require balance and coordination, as well as an increased risk of developing other musculoskeletal issues in the affected limb. It is important to consult with a healthcare professional to fully understand the implications of tibialis posterior removal before making a decision.

Patient Success Stories Post-Tibialis Posterior Removal
Removing the tibialis posterior after fusion is a decision that many patients face. Some may find that the benefits outweigh the risks, while others may prefer to avoid further surgical intervention. Here are some patient success stories from individuals who chose to have their tibialis posterior removed:
Case 1: Patient A, a 55-year-old female, had been experiencing severe pain and stiffness in her ankle following a fusion procedure. After consulting with her surgeon, she decided to undergo tibialis posterior removal. The surgery was successful, and Patient A reported a significant improvement in her pain levels and mobility.
Case 2: Patient B, a 40-year-old male, had been struggling with recurrent infections and swelling in his ankle after a fusion surgery. He ultimately opted for tibialis posterior removal as a last resort. The procedure was a success, and Patient B was thrilled to finally experience relief from his chronic discomfort.
These patient success stories highlight the potential benefits of tibialis posterior removal for individuals struggling with post-fusion complications. It’s essential to consult with your healthcare provider to determine if this procedure is the right choice for your specific situation.
Recommendations for Surgeons Facing this Decision
When considering whether to remove the Tibialis Posterior after fusion surgery, it is essential for surgeons to weigh the potential benefits and risks carefully. Here are some key recommendations to help guide your decision-making process:
- Evaluate the patient’s individual case: Before making a decision, assess the patient’s unique circumstances, including their medical history, level of pain, and functional goals.
- Consult with a multidisciplinary team: Discuss the case with other healthcare professionals, such as orthopedic specialists, physical therapists, and pain management experts, to gain different perspectives and insights.
- Consider non-surgical options: Explore conservative treatments, such as physical therapy and orthotics, before opting for surgical intervention to address the patient’s symptoms.
To Conclude
Ultimately, the decision to remove the tibialis posterior after fusion is a complex one that should be made in consultation with your healthcare provider. While there are potential benefits to removal, there are also risks to consider. It is important to weigh these factors carefully and make an informed decision that is best for your individual situation. If you have any questions or concerns, be sure to discuss them with your doctor to ensure that you are fully informed before moving forward.







