Retinacular Plication for the Treatment of Posterior Tibial Tendon Impingement in Total Ankle Replacement—A Technique Tip

Total ankle replacement has become the standard treatment for end-stage ankle osteoarthritis, but complications like posterior tibial tendon impingement can occur, affecting long-term success. The presented technique involves reinforcing retinacular tissues around the tendon to create a protective barrier between the tendon and prosthetic components. The procedure is discussed in detail, emphasizing careful assessment, surgical steps, and considerations for tensioning. While this technique offers a novel solution to soft tissue impingement, its limitations and the need for long-term outcomes assessment are acknowledged. In conclusion, retinacular plication may help address posterior tibial tendon impingement after total ankle replacement, but meticulous surgical technique and patient-specific planning are essential for favorable results. Level of Evidence: Level Ⅴ.