Abductor toe minor nerve branch release, plantar fasciectomy release and calcaneal spur resection

The small toe muscle branch is relieved, the fascia rupture and the sciatic resection are used for the treatment of heel pain. Heel pain refers here to the pain in the lower part of the anterior and posterior aspect of the plantar calcaneus. In addition to rheumatoid arthritis, ankylosing spondylitis and osteoarthritis, which may be the cause of heel pain, the tendon fascia is repeatedly subjected to the tensile stress caused by the extension of the toe, resulting in accumulation of minor damage and degeneration. Can be the cause of heel pain. Treating diseases: heel pain Indication Small toe-extension muscle branch release, iliac fascia detachment and sacral resection are suitable for long-term intractable heel pain that is ineffective by non-surgical treatment. Preoperative preparation 1, including skin preparation, osteotome, osteophytes and other orthopedic instruments. 2, using epidural anesthesia or spinal anesthesia, or anesthesia with ankle nerve block. In the supine position, the affected hip flexes and abducts outward, causing the medial side to face upward. Attach a balloon tourniquet in the middle of the thigh. Surgical procedure 1. The medial incision in the posterior part of the foot begins at the lower edge of the scaphoid and extends backwards. It is 6 to 7 cm long after the lower edge of the calcaneus. 2, the internal and external nerves of the iliac crest and the small toe muscles explore the loosening from the lower edge of the flexor support ligament in the posterior medial malleolus, revealing the main branches of the phrenic nerve and the accompanying blood vessels, namely the medial iliac crest and the lateral iliac crest Nerve and medial nerve branches of the calcaneus. The deep fascia was cut along the upper edge of the abductor muscle, and the abductor muscle was retracted to the temporal side. The inner and lateral nerves of the iliac crest were explored in the deep surface. Note the identification of the nerve branch from the lateral lateral nerve that governs the small toe muscle, which is located deep in the abductor muscle in front of the calcaneal nodule, and loosens the attachment of the fascia of the abductor muscle to the calcaneus. To relieve the compression of the nerve branch. 3. Loosing the fascia and removing the calcaneus of the calcaneus: From the iliac crest of the abductor muscle, the starting point of the fascia on the calcaneal nodule is revealed, and it is cut off from the starting point with a sharp knife. If there is a calcaneus of the calcaneus, the calcaneus nodules and spurs will be excised with an osteotome, and the rough surface of the bone will be smoothed with bone. Check the starting point of the short toe flexor of the deep fascia, and if necessary, cut off the loosening at the starting point. 4, relax the tourniquet, completely stop bleeding, place the rubber strip drainage, suture the incision. complication The main complication is the injury of the main nerve branch and accompanying blood vessels, or the hemostasis caused by hemorrhage. There is also a real cause of heel pain that has not been removed, resulting in postoperative pain that has not been resolved or relapsed.

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