Weinstein Lovell and Winters Pediatric Orthopaedics 7e

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CHAPTER 30  |  The Child with a Limb Deficiency

FIGURE 30-12.  With the foot severely plantarflexed and a small bone hook placed in the posterior aspect of the talus, the dissection of the posterior ankle capsule is completed, freeing the talus. In the severe congenital foot deformity, this is not easy, and care must be taken to avoid cutting through the cartilaginous portion of the posterior talus. When this part of the release is completed, the talus should come forward, exposing the calcaneus.