Straight arthroscope AM™

SOFT TISSUE RELEASE SYSTEM Key Benefits Uniportal access for surgical simplicity Saves valuable OR time by eliminating patient repositioning Scope-mounted blade ensures excellent visualization Endoscopic Gastrocnemius Release Surgical Technique Indications Endoscopic Gastrocnemius Release (EGR) is indicated in the treatment of posterior heel cord contracture (equinus) in those patients who fail to respond to a full course of conservative management. Appropriate patients include those undergoing reconstruction of foot deformity and those with potential for neuropathic ulceration (i.e., diabetics). A patent has been applied for. Training For safe and effective use, surgeons must have thorough knowledge of leg anatomy, open procedures for the gastrocnemius release/recession and surgical technique using this instrumentation (Figure 1). Instructional video tapes and cadaver workshops are strongly recommended. Warning If, while performing this technique, any problems should arise (such as anatomical anomalies, inadequate visualizations, inability to identify anatomy, or questions concerning technique or instrumentation), the surgeon should abandon the endoscopic gastrocnemius release and convert to an open procedure. Acknowledgements We would like to thank: Dan Bareither, Ph.D., for access to the cadaver lab at the Scholl College of Podiatric Medicine. Arthur Widtfeldt, D.P.M., for contributing his patients and ideas. Surgical Technique Introduction There are advantages to the Endoscopic Gastrocnemius Release (EGR). They include smaller incision(s) with less loss of function in the early postoperative period and the ability to regain propulsion. Concerns with endoscopic