- Discussion:
- performed to correct equinus deformity at the ankle:
- calcaneal (achilles) tendon is lengthened;
- ankle joint capsule and all posterior tibiotalar, talofibular, & calcaneofibular ligaments are severed;
- tibiofibular syndesmosis is released posteriorly;
- FHL may require recession;
- its often necessary to combine Posterior and Medial release may be necessary: called Posteromedial Release;
- severe deformity of calcaneus may require tibialis transfer
- this procedure must not be done until the adduction of forepart of foot & varus deformity of heel have been corrected completely;
- complete posterior release consists of lengthening Achilles tendon, performing a posterior capsulotomy of tibiotalar & subtalar joints,
and sectioning the posterior talofibular ligament and the calcaneofibular ligament