Medial and lateral gastrocnemius head dissection plus neuromuscular ramitomy

Gastrocnemius internal and external head dissection plus neuromuscular branch surgery for the treatment of spastic foot drop. Simple gastrocnemius contracture causes spasticity of the clubfoot. When the knee is bent at 90°, the clubfoot can be relieved or disappeared. The internal and lateral head dissection of the gastrocnemius can be used. If there is still a hernia, the nerve can be cut off. Treatment of diseases: congenital clubfoot Indication Gastrocnemius internal and external head dissection plus neuromuscular branch surgery is suitable for patients with gastrocnemius tendon accompanied by sputum. Contraindications Accompanied by the soleus muscle contracture. Surgical procedure 1. The incision is made into a longitudinal S-shaped incision on the posterior side of the armpit to cut the skin and subcutaneous tissue. 2. Cut the deep fascia and expose the medial and lateral head of the gastrocnemius. On the posterior side of the femoral condyle, the inner and outer heads of the gastrocnemius are lifted with a gauze, and it is peeled off from the femoral condyle with a periosteal stripper. Retraction, and then cut off the nerve branches that govern the two heads of the gastrocnemius muscle from the sacral nerve trunk. 3. Suture the incision to relax the tourniquet, stop bleeding, isotonic saline to wash the incision, suture according to the level.