Adult acquired flatfoot or posterior tibial tendon dysfunction (PTTD) occurs when the posterior tibial tendon begins to show signs of fatigue. This progressive condition eventually leads to complete collapse of the arch and destruction of the ankle joint. This patient is recovering well after flat foot reconstruction which involved a combination of bone and soft tissue procedures. If you feel that your arch may be falling, please give us a call for an appointment today! (425) 339-8888, ext 0