OPERATING ROOM OBSERVATION.
Age: 39 year-old.
Marital status: Married.
Left tendoachilles pain for 5 years.
Patient rates pain to 10/10. Patient said she had a Platelet-Rich Plasma
(PRP) injection 2 years ago as a treatment intervention for this condition and had some relief but over time, the pain came back and got worse.
Name of surgical procedure:
Endoscopic Gastrocnemius Recession.
Left leg Gastrocnemius Recession. This procedure is to release a tight calf muscle that is pulling the heel upward. To improve ROM(Range Of Motion), the tendon connecting to the tight calf muscle will be cut, this will release the heel from the upward pull allowing the patient to stand with foot flat on ground.
Gastrocnemius Recession is commonly performed to correct an equinus contracture of the ankle that may accompany foot and ankle pathology in adults. (An equinus deformity is basically one in which the achilles tendon is shorter than needed to allow adequate dorsiflexion during the gait cycle.
If the foot is perpendicular to the leg and put through a range of motion where the foot cannot dorsiflex (move upward) more than 10 degrees this is thought of as an equinus deformity). The equinus deformity leads to excessive pressure and pain that manifests as plantar fasciitis, metatarsalgia, posterior tibial tendon insufficiency, osteoarthritis, and foot ulcers. The procedure is also performed on individuals who have limited ankle dorsiflexion.
In the preoperative phase, many informations are obtained, a full history from the client, including allergies, medication usage, and pre-existing medical
conditions. Any previous experiences with sedation or anesthesia should to be reported, especially any adverse reactions. Note the last dose of each of the client's prescribed medications, especially if it could alter the client's response (diuretic, antihypertensive, narcotic). Provide education about the...