|The lateral approach(extended lateral) to the calcaneum.||The lateral wall of the calcaneum exposed.||The saw in position to begin the calcaneal osteotomy.|
|The calcaneal osteotomy completed.||The calcaneal osteotomy being displaced.||The calcaneal osteotomy fully shifted medially and temporarily held with a wire.|
|Insertion of a cannulated compressive screw over the wire.||Two screws required to hold this osteotomy.|
|The medial approach to the Tibialis Posterior tendon.||A complete rupture of the tendon ,showing just a few fibres still attached to tendon insertion.||The few remaining attached tendon fibres.|
|The remaining "stump" of the Tib post tendon (1) and the Flexor digitorum longus (FDL ,2) tendon being mobilised.||The FDL tendon Detached and ready to transfer.||The FDL tendon marked in preparation for fixation with the Arthrex Bio-Tenodesis screw.|
|The Bio-Tenodesis screw being inserted into a predrilled tunnel to anchor the tendon.||The screw being driven home.||The transferred tendon in its new position.|
Xrays before and after procedure.
Note the calcaneal osteotomy fixed with a screw and the improvement in the arch.