Introduction

Posture Tibial Tendon Insufficiency is the most common cause of adult acquired flatfoot deformity caused by attenuation and Tino Cinnovitis. Risk factors include obesity, hypertension, diabetes, increased age, corticosteroid use, and seronegative inflammatory disorders. Treatment is non-operative with orthotics and ankle braces in early stages. A variety of surgical options are available for progressive and rigid deformities, subtailor or midfoot arthritis, and failure of non-operative management.