Peroneal long, brevis and posterior tibial tendon posterior placement

The humerus long and short muscles and the posterior tibial tendon are used for sequelae of polio - surgical treatment of the foot. Follow-up is a serious, rapidly progressing paralytic malformation caused by paralysis of the triceps of the calf and other external muscles, especially the dorsal extension of the ankle. For the rapid development of deformities, especially in young children, it is recommended to perform early tendon transposition. If there are sufficient muscles available, the tendon should be indexed early to improve function and avoid malformation. If no suitable muscle is available, the Achilles tendon can be attached to the tibia. In skeletal mature feet, early treatment and foot surgery include aponeurosis and three-joint fusion to correct both the follow-up and high-bow deformities. When the joints are integrated, the foot should be moved backwards as much as possible to extend The rear arm of the lever (the calcaneus) reduces the amount of force required to lift the heel. Six weeks after arthrodesis, the long and short tibialis and the posterior tibial tendon were translocated to the calcaneus. When the toe long extensor muscle is functional, it can be indexed to the cuneiform bone, and the tibialis anterior muscle can be transposed to the calcaneus at the same time. Treatment of diseases: foot valgus congenital high arch foot congenital toe valgus foot Indication The humerus long and short muscles and the posterior tibial tendon are suitable for the foot deformity. Preoperative preparation Regular preoperative examination. Surgical procedure 1. A 2.5 cm long oblique incision between the external malleolus tip and the fifth metatarsal base reveals the long and short tendon of the humerus. The tendon was cut distally as far as possible, and the distal end of the long iliac crest was firmly sewn on the tendon sheath. A second incision is then made on the surface of the tendon sheath at the lower third of the lower leg, from which the tendon is extracted from the tendon sheath. The tendon-muscle and abdomen joint of the short tibialis muscle can be sutured on the long iliac crest, and the distal end of the tibia short tendon is discarded. 2. Make a short incision on the posterior surface of the posterior iliac crest to expose the posterior tibial tendon; free the distal end, 5 cm above the medial malleolus, and make a 2.5 cm long second incision at the muscle-tendon junction of the posterior neck muscle. The incision draws the tendon. The three tendons were subcutaneously extracted through an incision located on the anterolateral side of the Achilles tendon. Drill a bone hole on the outside of the midline of the posterior surface of the calcaneus to enlarge it to accommodate the tendon; keep the foot in the horseshoe, the heel in the correction position, and fix the tendon in the bone hole with the thick thread, the end and the end of the tendon The achilles tendon is fixed nearby. Close the wound.

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