Treatment of Posterior Tibial Nerve Impingement After Tibial Lengthening

Acute correction of severe equinus deformity can cause a compression and stretch of the branches of the posterior tibial nerve at the tarsal tunnel. If neuropraxia is suspected, early release of the tarsal tunnel is necessary to relieve the symptoms. This is an example of a patient who recovered completely after relatively delayed (4 months) release of the tarsal tunnel impingement syndrome that developed after lengthening of the tibia.