Encyclopaedia Medica volume 1

Cover Encyclopaedia Medica volume 1
Encyclopaedia Medica volume 1
Chalmers Watson
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The tendo Achillis is detached, and the joint capsule at the posterior and outer aspect of the os calcis, together with the calcaneo- fibular band of the external lateral ligament, is severed.
The peronei tendons are preserved. The interosseous ligament between the os calcis and astragalus is divided, also the calcaneo-cuboid ligaments, the bone being cleared on its plantar and dorsal aspects.
The tendon of the tibialis posticus is drawn upwards over the sustenta- culum tali. The os calcis is s
...eized with a pair of long forceps and forcibly dislodged, and any remaining connections detached, and in doing so the structures on the inner surface of the bone are to be carefully avoided. After the operation the foot is fixed at a right angle with the leg and the heel left exposed.
The results of this operation are most encouraging. Subperiosteal resection, although sometimes practised, is of doubtful utility when the operation is performed in cases of disease.
In children the bone can be removed through the heel incision, the vertical cut being dispensed with altogether.


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