Tibialis Posterior Tendon Rupture Concomitant with Closed Bimalleolar Fracture

Abstract

Introduction: Tibialis posterior rupture is rarely associated with ankle fractures, usually misdiagnosed, and leads to flatfoot deformity if untreated. Primary repair has been reported in most cases, with better outcomes regarding late deformity correction. Case Report: 22-years old female surgically treated for bimalleolar fracture, with intra-operative diagnosis of irreparable tibialis posterior tendon rupture, submitted to tenodesis to the flexor digitorum longus. Conclusion: Irreparable tibialis posterior rupture in acute fracture is a rare association with ankle fractures. Tenodesis to the flexor digitorum longus is a surgical option when primary repair is not possible.