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It is noteworthy that this technique does not produce the loss of knee flexion that is typically seen after posterior release of supracondylar osteotomy.
This technique allows the release of retracted tissues on the medial aspect of the foot, restores congruency of the talonavicular joint (and naviculocuneiform and cuneometatarsal joints if necessary), along with correction of the equinus by Achilles tendon lengthening and posterior release of the ankle and subtalar joint.
We preferred to perform open Achilles tendon lengthening in older children or in cases of relapse of the equinus in order to also appreciate the possible tightness of the ankle and subtalar joints and then perform a posterior release of these joints along with tendon lengthening.
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3 feet were operated on with postero-medial release, 2 with posterior release, and 1 with transfer of the tibialis anterior tendon.
Our results were good regarding avoidance of extensive surgery; only 5 feet needed posterior release or postero-medial release.
Fifty-three percent had no relapse and 47% had one relapse, most treated without extensive surgery: of 104 feet, seven eventually underwent posteromedial or posterior releases.
We show that centrosomes accompanying posterior nuclei induce release of germ plasm from the cortex and recruit these components by dynein-dependent transport on centrosome-nucleated microtubules.
Removal of the posterior hyaloid and release of traction result in an increase in tissue pressure and also a lowering of hydrostatic pressure gradient [ 38].
In the thoracic spine, the convex rib heads are resected and the discs and posterior annulus are removed, with release of the posterior longitudinal ligament.
Surface arthroplasty was performed by the posterior approach with the release of the obturator internus and gemelli about 1 cm from their insertion, with the additional release of quadratus femoris, if required.
In our study, the MIS posterior approach required intentional release of the ischiofemoral ligament and external rotators, which were marked for repair.
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