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Posteromedial Release for Clubfoot

  • Joseph G. Khoury
Chapter

Abstract

The patient is positioned prone. The leg was elevated and exsanguinated with the use of an Esmarch and tourniquet inflated to 220 mmHg. A posteromedial incision was made. Dissection was carried down through subcutaneous tissues and the neurovascular bundle was identified and dissected along its course and gently retracted with a vessel loop. The posterior tibial, FDL, and FHL tendons were identified and retracted. The tendon Achilles was then identified. The sheath was opened and the achilles tendon was subsequently divided in a Z-lengthening fashion. The posterior ankle capsule was identified and cleared of both posteromedial and posterolateral structures. The neurovascular bundle and tendons were protected while the capsule was incised into the tibiotalar and subtalar joints.

Keywords

Achilles Tendon Neurovascular Bundle Subtalar Joint Plantar Fascia Peroneal Tendon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Joseph G. Khoury
    • 1
  1. 1.Division of Orthopedic Surgery, Department of SurgeryUniversity of AlabamaTuscaloosaUSA

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