2025, Vol. 7, Issue 2, Part A
Functional outcome after navicular tunneling and flexor digitorum longus tenodesis procedure in neglected tibialis posterior tendon rupture: A case report
Author(s): I Putu Arya Agung Pratama and I Wayan Subawa
Abstract: The posterior tibialis tendon plays a vital role in maintaining the foot’s arch and facilitating normal gait. Rupture of this tendon, if left untreated, can lead to progressive deformity and impaired function. This case report discusses a 22-year-old male with a neglected posterior tibialis tendon rupture who presented with pain, limited dorsiflexion and supination in the right ankle, and reduced function.
After clinical and radiological evaluations, surgical intervention was performed. The procedure involved creating a navicular tunnel for tendon reattachment and conducting a tenodesis to the flexor digitorum longus to improve foot stability. Postoperative management included immobilization, progressive weight-bearing, and structured physical therapy.
Following surgery, the patient showed significant improvements in pain reduction, restoration of arch height, and functional outcomes. Radiographs confirmed successful tendon reattachment and anatomical alignment. The American Orthopaedic Foot & Ankle Society (AOFAS) score improved markedly from 45 preoperatively to 88 at three months postoperatively.
This case highlights the efficacy of navicular tunneling combined with tenodesis in treating neglected posterior tibialis tendon ruptures. The approach offers stable reattachment and enhanced biomechanics, making it a promising solution for chronic cases. Further long-term follow-up is recommended to confirm the durability of these results.
DOI: 10.22271/27078345.2025.v7.i2a.261Pages: 35-38 | Views: 354 | Downloads: 104Download Full Article: Click Here
How to cite this article:
I Putu Arya Agung Pratama, I Wayan Subawa.
Functional outcome after navicular tunneling and flexor digitorum longus tenodesis procedure in neglected tibialis posterior tendon rupture: A case report. Int J Case Rep Orthop 2025;7(2):35-38. DOI:
10.22271/27078345.2025.v7.i2a.261
