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Lengthening the heel cord is the commonest single operative procedure in the repertoire of most orthopedic surgeons, and the reporting of any simplification of the technic seems justified, particularly if it brings to light an interesting embryologic phenomenon which explains the internal arrangement of the fibers of that structure, not generally appreciated. Before I developed my special but simple technic of subcutaneous tenotomy, I had abandoned that procedure because of frequent inability to get the severed tendon elements to slide apart, regardless of the near completeness of the alternate transverse cuts, and had employed an open tenoplastic technic, converting what should be a relatively simple operation into a much more formidable one.
The satisfaction that has long accompanied this lengthening procedure, together with the continual urging of my friends that I publish a description of the procedure, has finally prompted me to finish a task started many years ago. when
WHITE JW. TORSION OF THE ACHILLES TENDON: ITS SURGICAL SIGNIFICANCE. Arch Surg. 1943;46(5):784-787. doi:10.1001/archsurg.1943.01220110200033