Tibialis Posterior Recession for Balancing Varus Ankle Contracture during Total Ankle Replacement

Correction of soft tissue varus contracture with total ankle replacement is a challenge. In the present techniques report, I describe tibialis posterior recession using topographic anatomic landmarks that can be useful in correcting soft tissue contracture of the tibialis posterior musculotendinous unit associated with longstanding varus contractures during primary and revision total ankle replacement.