Tendo-achilles lengthening

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Tendo-achilles lengthening

Indications- when ankle dorsiflexion restricted; no osseus cause

• Incision about 1cm above Achilles attachment- medial and anterior
• Cut anterolateral fibres while dorsiflexing foot
• 4cm above first incision  mid-line incision  cut medial fibres while dorsiflexing foot in extended knee

Post-op- short leg cast with foot at 90° for two weeks; physical therapy

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