medial foot soft tissue release

Proximal soft tissue lysis is a surgical procedure for the treatment of foot joint disease. Applicable to the following situations: 1. Older children who have no bone deformation or who have failed non-surgical treatment should perform this operation immediately. 2, severe grievances, corrected by manipulation, residual achilles tendon after prolongation of the Achilles tendon, the joint capsule can be corrected after the incision. However, the bone has been deformed and is invalid. 3, non-surgical treatment failure, more than 6 months after birth or older untreated patients need surgery. Treatment of diseases: high arch Indication The situation of plantar flexion deformity: the use of Achilles tendon cutting extension for infants and young children, the use of Achilles tendon lengthening for more than 3 years old, and the use of ankle joint and subtalar joint posterior capsulotomy for severe deformity. High arch foot condition: aponeurosis. And cut off the starting point of the calcaneus of the short flexor and short flexor. The condition of varus deformity: cut off all soft tissue factors that cause varus. There are cleavage ligaments, triangular ligaments, sacral ligaments, calcaneus from the calcaneus, Z-cut, and extension of the posterior tendon. Adduction deformity: cut off the ligament of the boat, the boat wedge ligament. The antagonizing muscle strength of the contracture muscle: the contracture of the contracture tendon should be performed (see tendon transfer). The condition of skeletal malformation: three-joint or two-joint fusion is required (see three-joint fusion). Preoperative preparation 1. Soak and clean the skin before surgery. Treat sputum. 2, take the X-ray film of the foot to understand the displacement and deformation of the bone joint. 3, practice foot valgus exercise before surgery, loosen the inner tension of the skin. Surgical procedure Cut the skin and do not separate it under the skin. First find the scaphoid nodule (due to the varus deformity, the scaphoid is displaced close to the medial malleolus) and the posterior tibial tendon attached to it, separate and cut off the stop point of the muscle on the load distance, cut off the ligament, cut open The tendon sheath, Z-shaped cut, prolonged contracture and thickened posterior tibial tendon, foot varus can be initially corrected. The flexor digitorum longus and the longissimus dorsi tendon sheath were dissected, and the tendon of the flexor digitorum longus and the posterior tibial tendon were retracted forward, and the flexor longus tendon and the posterior tibial vascular nerve bundle were retracted backward to reveal the talus and the scaphoid. The inner side and the shallow layer of the triangular ligament. The patellofemoral ligament is cut off above the load-bearing protrusion, and the scaphoid ligament and the ligament of the boat are cut in front of it. But be careful not to damage the deep sacral ligament and the ligament of the boat, so as to avoid flat feet in the future. If the valgus is still varus, the ligament between the calcaneus should be cut off. The calcaneus can be completely corrected.

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