Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
15-SEPTEMBER-2025 MANAR ISMAEEL BADAWI 28 YEARS FLAT
LEFT FOOT WITH TARSAL TUNNEL SYNDROME.
Anamnesis
The patient came to the clinic to Dr, Ali
Al-Bayyati 12-September-2020 complaining of
chronic pain and burning sensation of the left
heel and foot, especially after prolonged
standing and walking and not responding to
medical treatment.
On examination, the patient is limping due to
left foot pain. Tinel's sign positive over the
left posterior tibial nerve. Flat both feet more
the left. The hindfoot in valgus and the
forefoot abducted.
The patient was sent for investigations and
X-ray of the foot in AP and lateral position and
EMG of both posterior tibial nerves.
The EMG confirmed severe left tarsal tunnel
syndrome.
Under G.A, with tourniquet to
the left foreleg, 2 separate incisions were
done over the projection of the left posterior
tibial nerve. In the above incision the
posterior tibial nerve was found and neurolysis
was achieved, releasing during that the edge of
the tarsal tunnel was bisected and through the
lower incision the three
major divisions of the nerve including the
Baxter nerve were identified,
released. Reconstruction of the medial arch by
half transfer of the tibialis anterior into
navicular (Young's tenosuspension) and
tibialis posterior advancement (Kinder
procedure) were achieved. Tenodesis of the
tibialis anterior and posterior was done. Routine
closure of the wounds after strict hemostasis. She was sent to the
ward.
FOLLOW UP
Too early now.
Comments
All the abnormalities must be corrected
to achieve better results.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
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