. Manual of operative surgery. i inches long—free above, united to the os calcisbelow. TENDON TRAXSILANTATIUN I213 Step 3.—Incise the deep fascia parallel and close to the posterior borderof the fibula. Expose and open the sheath of the peronei muscles. Thetendon of the p. longus lies posterior to that of the brevis. Fig. Fig. 1546.—Tendon transplantation. {Berger aftd Banzet.) , Peroneus longus. Tendon AchiUis. Peroneus brevis. i. Intact portion tendon peroneuslongus. 2. Flap from peroneus longus. 3. Flap from tendo AchiUis. Step 4.—Split the tendon into an outer and in
. Manual of operative surgery. i inches long—free above, united to the os calcisbelow. TENDON TRAXSILANTATIUN I213 Step 3.—Incise the deep fascia parallel and close to the posterior borderof the fibula. Expose and open the sheath of the peronei muscles. Thetendon of the p. longus lies posterior to that of the brevis. Fig. Fig. 1546.—Tendon transplantation. {Berger aftd Banzet.) , Peroneus longus. Tendon AchiUis. Peroneus brevis. i. Intact portion tendon peroneuslongus. 2. Flap from peroneus longus. 3. Flap from tendo AchiUis. Step 4.—Split the tendon into an outer and inner segment. Leave theouter segment intact. Divide the inner segment transversely, low downbelow the malleolus, so as to form a flap with its pedicleabove. Step 5.—Put the foot in a position of equinus andhold it there. Lay the two flaps of tendon (from theperoneus longus and from the tendo AchiUis) alongsideeach other and unite them with sutures. Step 6.—Shorten the intact portion of the tendoAchfllis. Step 7.—Close the wound. Dress. Immobflize ina position of equinus. (D) A combination of operations B and C may beemployed. (E) Transference of slips from the tibialis posticusand peroneus longus to the paralyzed tendo AchiUis. Step I.—Make the forked incision A B C D (Fig.
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