17. NONSURGICAL
• GRAVITY EQUINUS CAST
• BELOW KNEE CAST
• APPLIED FOR 3 MONTHS
• FOLLOWED BY SUPERVISED
STRENGTHENING ACTIVITIES
18. SURGICAL
APPROACH THROUGH MEDIAL
SIDE OF TENDON SHEATH
FOOT IN EQUINUS=RESTING
EQUINUS OF OPP ANKLE
EDGES APPROXIMATED-bunnel or
kessler stitch
PLANTARIS REINFORCE REPAIR
19. CHRONIC RUPTURE
• GASTRONEMIUS FASCIA
SUTURED TO DISTAL STUMP
• V-Y LENGTHENING OF
GASTRONEMIUS APONEUROSIS
• TRANSFER OF FHL TENDON
• REPAIR USING PERONEUS BREVIS