Understanding And Managing Equinus Deformities
Surgeons who add surgical treatment of equinus (whether endoscopic or open) to their armamentarium, if it is not already present, will find optimization of patient surgical outcomes and increased patient satisfaction. For many surgeons, this will require a huge mental paradigm shift but, in my opinion, the overwhelming improvement in patient outcomes will make the surgeon glad to have embraced the seemingly difficult change.
The minimally invasive endoscopic gastrocnemius recession technique allows for improved lower extremity biomechanical function, which frequently obviates the need for additional surgical procedures, many of which have a greatly increased postoperative morbidity. Additionally, since the endoscopic gastrocnemius recession frequently allows for the obviation of what patients thought would be required from a planned surgical reconstruction, sometimes they perceive the procedure as relatively “non-invasive.”
Dr. Barrett is an Adjunct Professor within the Arizona Podiatric Medicine Program at the Midwestern University College of Health Sciences. He is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. Barrett is a paid medical consultant for Instratek, Inc., which manufactures the instrumentation used in this endoscopic gastrocnemius recession technique. He has no financial relationship with Maldonado Medical, the company that manufactures the TEC system.