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If physical therapy fails, patients will often be referred for surgery. [1] [2] Surgery procedures become more invasive as the condition progresses. Tenosynovectomy with tubularization; Medial calcaneal osteotomy with posterior tendon debridement and repair; Flexor digitorum tendon (FDL) transfer; Spring ligament reconstruction; Achilles tendon ...
Posterior tibial tendonitis is a condition that predominantly affects runners and active individuals. It involves inflammation or tearing of the posterior tibial tendon, which connects the calf muscle to the bones on the inside of the foot. It plays a vital role in supporting the arch and assisting in foot movement.
Surgery usually takes place after a few weeks, in order to allow swelling to decrease and regular motion to return to the knee. A procedure called ligament reconstruction is used to replace the torn PCL with a new ligament, which is usually a graft taken from the hamstring or Achilles tendon from a host cadaver.
If non-invasive treatment measures fail, tarsal tunnel release surgery may be recommended. Tarsal tunnel release is a form of a nerve decompression to relieve pressure on the tibial nerve. The incision is made behind the ankle bone and then down towards but not as far as the bottom of foot. The posterior tibial nerve is identified above the ankle.
In children <10 years of age, the cause is usually vascular injury or infection [78]. In children >14 years of age, the cause is usually due to trauma or surgical positioning [ 79 ] . Treatment for compartment syndrome in children is the same as adults [ 72 ] .
If the joint cannot be reduced in the emergency department, then emergency surgery is recommended. [2] In those with signs of arterial injury, immediate surgery is generally carried out. [3] If the joint does not stay reduced external fixation may be needed. [2] If the nerves and artery are intact the ligaments may be repaired after a few days ...
The donor tendon must also be expendable. In other words, it must not result in functional deficit after transfer. The remaining muscles must have enough level of strength to account for the loss of the original function of the donor muscle. Transfers can generally be classified into either power or positional transfers.
High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]