1. EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION

2. EQUINUS DEFORMITY
Equinus is probably the most
unrecognized, and untreated
pathological condition affecting
the human lower extremity.

3. Symptoms Foot fatigue Leg and arch pain Night cramps
Walking intemperance
Athletic abstinence
Sedentary hobby pursuit
Abnormal shoe wear

4. EGR Logistical Sequence
ASSESS EQUINUS

5. Four Classifications Gastrocnemius Equinus Gastrocnemius-Soleal
Osseous Equinus
Pseudo Equinus

6. Gastrocnemius-Soleal Equinus
20 degree increase in dorsiflexion
when the knee is flexed
from what was available when extended,
but less than 10 degrees of increase.

10. EGR Technique
Picture of implant

11. Instrumentation
Endoscope

12. Avoid the Sural Nerve

13. The Incision

14. Dissection
The deep fascia is identified and opened allowing entrance of the cannula

16. Cannula Insertion

19. The Endoscope

21. The Recession

25. Post-op
AFO Boot

26. EGR INCIDENTALS Schedule one foot at a time Allow crutches as needed
(Adjunctive procedures if indicated)