We frequently perform tendon transfers (above) for severe deformities to allow for spreading force out over a larger unit area and over time. This recent suggestion (below) got us thinking, however.
This clever work from Kim and coworkers from our East Coast toemigos shows a potential clever alternative to tendon transfer in people with plantar lateral wounds. While we tend to prefer tendon transfer (below) to lengthening or tenotomy for severe deformity, we believe that lengthening may be a great adjunct for less severe contractures/deformity.
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