Lower Limb Conditions Types of Knee Surgery Arthroscopy: to repair or trim the meniscus Lateral release: loosen the ligaments that pull the kneecap toward the lateral aspect of the joint Meniscus transplant: meniscus from a donor patient into an individual who has had their meniscus removed ACL reconstruction: reattachment of the ACL ligament Patellar/quadriceps tendon repair: repair of patellar tendon or quadriceps tendon on the front of the knee PCL reconstruction: reattachment of the PCL ligament Tibialis Anterior Tendon Transfer Tibialis anterior tendon is split and one half is moved from its attachment on the inside of the foot to the outer side of the foot and secured to the bone Used to balance the pull of the muscle so that the foot lifts straight up instead of pulling in Tibialis Posterior Tendon Transfer Tibialis posterior tendon help pull the foot inwards Patients suffering from foot drop lose the ability to pull the ankle up Surgery involves transfer of the posterior tibial tendon to the top of the foot Ponsetti Technique for Congenital Clubfoot Involves stretching of the foot The foot is reposition to the normal position then a cast (a Ponseti cast) is placed on top of it The baby's foot is then continually repositioned and placed back into a cast once a week for several months After several months, the doctor will surgically lengthen the heel cord (calcaneal tendon) Routine stretching is done with a brace nightly for three years